JEREMY MATTHEW GIBSON (NPI# 1285127548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285127548 |
| Entity Type | Individual |
| Full Name | JEREMY MATTHEW GIBSON |
| Credential | MS, NREMT, EMT-B |
| Practice Address |
2739 Albright Rd Kokomo IN 46902 |
| Mailing Address |
2739 Albright Rd Kokomo IN 46902-3996 |
| Practice Telephone | 7654558545 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821265430 | Jeremy Leighton Gibson | Student in an Organized Health Care Education/Training Program | 2801 N Gantenbein Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2008-05-13 |
| 1972057842 | Jeremy Gibson | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2016-08-09 |
| 1124494166 | Jeremy Gibson | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-08-13 |
| 1003876798 | Jeremy L. Gibson | Pediatrics | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-25 |
| 1912987504 | Jeremy Brendon Gibson | Pathology | 1650 4th St Se, Rochester, MN 55904-4717 | 2006-01-19 |
| Street Address |
2739 ALBRIGHT RD |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156978 | Desiree Stage | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2020-05-28 |
| 1376179663 | Mary Elizabeth Schrock | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2020-03-18 |
| 1174167225 | Whitney Sutherlin | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-11-01 |
| 1972160141 | Paul Novak | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-05-23 |
| 1043876550 | Alecia Rapp | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-05-10 |
| 1174099287 | Laney Marie Thurston | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-10-16 |
| 1265911275 | Debra Cave | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-09 |
| 1629557962 | Megan Bond | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1326527664 | Kelly Ann Lewis | Social Worker | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1407335748 | Kelly Jo Brown | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| 1811244346 | Karen Kay Eller | Occupational Therapist | 2800 S. Dixon Rd, Wellington, Kokomo, IN 46902 | 2012-08-15 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861971103 | Emily Dianne Farrell | Case Manager/Care Coordinator | 4404 Parkwood Dr, Kokomo, IN 46901-6451 | 2018-08-08 |
| 1174167225 | Whitney Sutherlin | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-11-01 |
| 1043876550 | Alecia Rapp | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2019-05-10 |
| 1174099287 | Laney Marie Thurston | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-10-16 |
| 1265911275 | Debra Cave | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-09 |
| 1629557962 | Megan Bond | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1407335748 | Kelly Jo Brown | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1245719509 | Diana Marie Jones | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1255810529 | Michael Darrell Brunk | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902-3996 | 2018-08-08 |
| 1841778818 | Lina Bowman | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.