Active NPI
Libbie Tuthill
- Pediatric Nurse Practitioner
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R210239-1
- Practice address
- 347 Smith Ave N
Suite 404
Saint Paul, MN 55102-2387 - Phone
- (651) 220-6073
- Fax
- (651) 220-6064
- NPI assigned
- Dec 30, 2013
- Last updated
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R210239-1 | MN | Primary |
Addresses
Primary practice location
347 Smith Ave N
Suite 404
Saint Paul, MN 55102-2387
Mailing address
347 Smith Ave N
Suite 404
Saint Paul, MN 55102-2387
Phone (651) 220-6073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R210239-1 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Current | Accepting new patients |
Locations
7767 Elm Creek Blvd N
Maple Grove, MN 55369
Phone (612) 813-6000
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
6060 Clearwater Dr
Ste 220
Minnetonka, MN 55343
Phone (651) 220-6624
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
347 Smith Ave N
Ste 404
Saint Paul, MN 55102
Phone (651) 220-6624
628 Bielenberg Dr
Woodbury, MN 55125
Phone (612) 874-1292
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
dba Childrens Hospitals and Clinics of Minnesota
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1225132566
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424908800000",
"number": "1932520400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 SMITH AVE N",
"address_2": "SUITE 404",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022387",
"telephone_number": "651-220-6073",
"fax_number": "651-220-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 SMITH AVE N",
"address_2": "SUITE 404",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022387",
"telephone_number": "651-220-6073",
"fax_number": "651-220-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTHILL",
"first_name": "LIBBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-30",
"last_updated": "2015-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R210239-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.