TIBA CARE PLLC
NPI 1417469669
Nurse Practitioner - Family in Tempe, AZ

Active since October 27, 2017
315 W ELLIOT RD STE 107-167, TEMPE, AZ 85284(623) 226-8105 Get Directions Write a Review

NPPES record last updated: October 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tiba Care Pllc NPPES

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

TIBA CARE PLLC (NPI 1417469669) is a healthcare organization registered as a family in Tempe, Arizona and active in the NPI registry since October 2017. The organization lists Jennifer Gresham, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1417469669
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTIBA CARE PLLC
Location Address315 W ELLIOT RD STE 107-167Tempe, AZ 85284-1328
Mailing Address5810 S 35th PlPhoenix, AZ 85040-2844 · (314) 757-8291
Organization SubpartNo
Authorized OfficialJennifer GreshamFamily Nurse Practitioner · (623) 226-8105
Enumeration DateOctober 27, 2017
NPI 1417469669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP8433
315 W ELLIOT RD STE 107-167, Tempe, AZ 85284

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tiba Care PLLC's NPI number?

The NPI number for Tiba Care PLLC is 1417469669. It was assigned to this organization in the NPPES registry on October 27, 2017.

Where is Tiba Care PLLC located?

Tiba Care PLLC is located at 315 W Elliot Rd Ste 107-167, Tempe, AZ 85284. The listed phone number is (623) 226-8105.

What is Tiba Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Tiba Care PLLC was last updated on October 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.