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Teresa J Tibbetts M D LLC

Family Medicine Physician in Lake Havasu City, AZ · enumerated 2007 · authorized official Teresa Tibbetts, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053594275

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Registry record

Entity type Organization (Type 2)
Legal business name Teresa J Tibbetts M D LLC
Practice address 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ, 86403
Fax (928) 680-6522
Enumeration date Dec 11, 2007
Last updated in NPPES Aug 5, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 27163 (AZ) Primary

Authorized official

Name Teresa Tibbetts
Title Owner

Other identifiers

Identifier Type State Issuer
474429 Medicaid AZ -
AZ0769200 Other - BCBS AZ
2Z2286 Other - HEALTH NET
DD0854 Other - RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-05. Verify at npiregistry.cms.hhs.gov.
Where is Teresa J Tibbetts M D LLC located?
The practice location on file with NPPES is in Lake Havasu City, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-05.