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TABITHA PROFESSIONAL SERVICES
NPI 1801971387
General Practice in Lincoln, NE

Active since October 25, 2006
4720 RANDOLPH STREET, LINCOLN, NE 68510(402) 483-7671(402) 486-8539 Get Directions Write a Review

NPPES record last updated: October 8, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tabitha Professional Services NPPES

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

TABITHA PROFESSIONAL SERVICES (NPI 1801971387) is a healthcare organization registered as a general practice in Lincoln, Nebraska and active in the NPI registry since October 2006. The organization lists Darcie L Brink, Sr Vice President / Cfo, as its authorized official.

NPPES Registry Identity

NPI1801971387
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTABITHA, INC.
Location Address4720 RANDOLPH STREETLincoln, NE 68510-3741
Mailing Address4720 Randolph StreetLincoln, NE 68510-3741 · (402) 483-7671 · Fax (402) 486-8539
Phone(402) 483-7671
Fax(402) 486-8539
Organization SubpartYes
Authorized OfficialDarcie L BrinkSr Vice President / Cfo · (402) 483-7671
Enumeration DateOctober 25, 2006
Last NPPES UpdateOctober 8, 2013
✔ NPI 1801971387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedNurse PractitionerTaxonomy 363L00000X
4720 RANDOLPH STREET, Lincoln, NE 68510
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Other Names 1

Doing Business AsTabitha Professional Services

Other Identifiers 3

Medicare OSCAR/certification086209NE
Medicaid=========08NE
Medicare ID-Type Unspecified110242520NE · Professional Svcs (rr)

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tabitha Professional Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeanne Bonham, APRN
Nurse Practitioner
NPI 1821505868
3900 PINE LAKE RD
Lincoln, NE 68516
(402) 213-7855
✔ PECOS4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tabitha, Inc.'s NPI number?

The NPI number for Tabitha, Inc. is 1801971387. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Tabitha Professional Services.

Where is Tabitha, Inc. located?

Tabitha, Inc. is located at 4720 Randolph Street, Lincoln, NE 68510. The listed phone number is (402) 483-7671.

What is Tabitha, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Tabitha, Inc. enrolled in Medicare?

Yes. Tabitha, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tabitha, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tabitha, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha, Inc. was last updated on October 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.