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TABITHIA BEAVERS RN
NPI 1255015566
Registered Nurse - Ambulatory Care in Canton, MI

Active since June 15, 2023
5900 N LOTZ RD, CANTON, MI 48187(734) 394-4500 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Jun 15, 2023 (2 updates tracked since 2023).

About Tabithia Beavers Rn NPPES

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

TABITHIA BEAVERS RN (NPI 1255015566) is an individual ambulatory care provider in Canton, Michigan, licensed in Michigan (4704354292) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1255015566
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameTABITHIA BEAVERSCredential: RN
Location Address5900 N LOTZ RDCanton, MI 48187-4331
Mailing Address2215 Fuller RdAnn Arbor, MI 48105-2303
Phone(734) 394-4500
Sole ProprietorNo
Enumeration DateJune 15, 2023
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1255015566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in MI · 4704354292
5900 N LOTZ RD, Canton, MI 48187
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Other Providers at the Same Location NPPES 15

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

EMILY GRACE-COX RN
Registered Nurse
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
JIMMY KASSIS
Registered Nurse (Ambulatory Care)
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
ASHLEY PARCHMENT
Health and Wellness Coach
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 837-0657
LAURA RANGE
Registered Nurse (Case Management)
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
DR. CHRISTINE EMANUEL NAYDENOV PSYD
Psychologist (Clinical)
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
JACOB HUMENIK RN
Registered Nurse
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
EBONI STEWART
Registered Nurse (Ambulatory Care)
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500
CHERYL GROSS
Registered Nurse (Case Management)
5900 N LOTZ RD
CANTON, MI 48187
Wayne County (734) 394-4500

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 Tabithia Beavers's NPI number?

The NPI number for Tabithia Beavers is 1255015566. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Tabithia Beavers located?

Tabithia Beavers practices at 5900 N Lotz Rd, Canton, MI 48187. The listed phone number is (734) 394-4500.

What is Tabithia Beavers's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Tabithia Beavers was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.