MRS. BONNIE JEAN TIBBITTS OTR
NPI 1649447517
Skilled Nursing Facility in Eau Claire, WI

NPI Status: Active since May 10, 2008

Contact Information

4901 N CLAIREMONT AVE
EAU CLAIRE, WI
ZIP 54703
Phone: (715) 874-5489

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  • Individual
  • Female
  • Skilled Nursing Facility

About BONNIE TIBBITTS

This page provides the complete NPI Profile along with additional information for Bonnie Tibbitts, a provider established in Eau Claire, Wisconsin with a medical specialization in Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1649447517 assigned on May 2008. The practitioner's primary taxonomy code is 314000000X with license number 1537026 (WI). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1649447517
Provider Name
MRS. BONNIE JEAN TIBBITTS OTR
Gender
Female
Entity Type
Individual
Location Address
4901 N CLAIREMONT AVE EAU CLAIRE, WI 54703
Location Phone
(715) 874-5489
Mailing Address
1405 TRUAX BLVD EAU CLAIRE, WI 54703
Mailing Phone
(715) 552-1030
Is Sole Proprietor?
Yes
Enumeration Date
05-10-2008
Last Update Date
05-10-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
1537026
License State
WI
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42058800MEDICAID (05)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649447517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689841452
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 8 + 4 + 1 + 4 + 5 + 2 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1649447517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649447517, enumerated in the NPI registry as an "individual" on May 10, 2008

The provider is located at 4901 N Clairemont Ave Eau Claire, Wi 54703 and the phone number is (715) 874-5489

The provider's speciality is Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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