DR. TAVENNER TATHEN DIBERT M.D.
NPI 1649627381
Pediatrics - Pediatric Critical Care Medicine in Gainesville, FL

Q: What is Tavenner Dibert's NPI number?

The NPI number for Tavenner Dibert is 1649627381. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Tavenner Dibert's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Tavenner Dibert was last updated on August 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2016PECOS Enrolled

1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-9001 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Tavenner Tathen Dibert M.d. NPPES

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

DR. TAVENNER TATHEN DIBERT M.D. (NPI 1649627381) is an individual pediatric critical care medicine provider in Gainesville, Florida, licensed in Florida (ME140590) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649627381

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. TAVENNER TATHEN DIBERTCredential: M.D.

Location Address1600 SW ARCHER RDGainesville, FL 32610-3003

Mailing Address1600 Sw Archer RdGainesville, FL 32610-3003 · (352) 273-9001

Phone(352) 273-9001

Sole ProprietorNo

Enumeration DateMay 23, 2016

Last NPPES UpdateAugust 8, 2024

NPPES CertifiedAugust 8, 2024

✔ NPI 1649627381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME140590

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License ME140590 (FL)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License ME140590 (FL)

1600 SW ARCHER RD, Gainesville, FL 32610

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Other Identifiers 1

Medicaid123082700FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tavenner Tathen Dibert M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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