MARY TIBBETTS
NPI 1194511212
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 16, 2025

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Tibbetts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TIBBETTS (NPI 1194511212) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1194511212
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY TIBBETTS
Location Address30 LEON STBoston, MA 02115-5009
Mailing Address36 Iona StBoston, MA 02131-2761 · (978) 888-3526
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1194511212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
30 LEON ST, Boston, MA 02115

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
30 LEON ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
30 LEON ST
BOSTON, MA 02115
Audiologist
30 LEON ST, 503 BEHRAKIS HEALTH SCIENCES CENTER
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
30 LEON ST
BOSTON, MA 02115
Physician Assistant
30 LEON ST
BOSTON, MA 02115
Audiologist
30 LEON ST, 503 BEHRAKIS CENTER AT NORTHEASTERN UNIVERSITY
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
30 LEON ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
30 LEON ST
BOSTON, MA 02115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tibbetts's NPI number?

The NPI number for Mary Tibbetts is 1194511212. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Mary Tibbetts located?

Mary Tibbetts practices at 30 Leon St, Boston, MA 02115. The listed phone number is (617) 373-3323.

What is Mary Tibbetts's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Tibbetts was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.