Individual ProviderDashina BibbNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3165 S 2nd St, Louisville, KY 40208-1446(502) 415-5627PECOS EnrollmentBased on the most recent information from CMS, provider Dashina Bibb is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1669004982Provider TypeIndividualFull NameBibb, DashinaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date2/5/2020Last Updated9/30/2022Contact InformationPractice LocationPractice Address3165 S 2nd St, Louisville, KY 40208-1446Phone(502) 415-5627FaxUnlisted FaxMailing LocationMailing Address3165 S 2nd St, Louisville, KY 40208-1446PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense3014016Kentucky