Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Grace Tibbits, FNP

Individual provider Family Nurse Practitioner · NPI 1912997123

Kathleen Grace Tibbits, FNP is a Nurse Practitioner in Syracuse, New York. Qualified in 1997, 29 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group. Licensed in New York.

Years since qualifying
29
Licensed in
NY
In the registry since
2005
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

721 E Genesee St Fl 2
Syracuse, NY 13210-1505
Phone: (315) 476-3124
Fax: (315) 476-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F331892-1 (NY)

Record details

NPI number1912997123
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated

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