MS. LAURIE A TIBBS PA
NPI 1669556130
Physician Assistant in Fort Myers, FL

Q: What is Laurie Tibbs's NPI number?

The NPI number for Laurie Tibbs is 1669556130. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Laurie Tibbs's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Laurie Tibbs was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 24, 2006

9131 COLLEGE POINTE CT, FORT MYERS, FL 33919(239) 343-9100(239) 343-9108 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2021, Oct 9, 2020 (2 updates tracked since 2020).

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About Ms. Laurie A Tibbs Pa NPPES

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

MS. LAURIE A TIBBS PA (NPI 1669556130) is an individual physician assistant in Fort Myers, Florida, licensed in Illinois (085001124) and active in the NPI registry since October 2006. She maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1669556130

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. LAURIE A TIBBSCredential: PA

Location Address9131 COLLEGE POINTE CTFort Myers, FL 33919-3245

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9100 · Fax (239) 343-9108

Phone(239) 343-9100

Fax(239) 343-9108

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1669556130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085001124

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9131 COLLEGE POINTE CT, Fort Myers, FL 33919

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Secondary Practice Location 1

Location 1800 North Logan, Suite 105Danville, IL 61832 · Phone (217) 431-6330 · Fax (217) 366-6106

Other Identifiers 2

Medicaid085001124IL

Medicaid107938000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

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.

DARREN R JACOBS D.O.

Family Medicine

9131 COLLEGE POINTE CT
FT MYERS, FL 33919

Lee County (239) 432-0101

DR. JOHN SCHMIDT DO

Family Medicine