TRACI A GIBBONS (NPI# 1407078322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407078322 |
| Entity Type | Individual |
| Full Name | TRACI A GIBBONS |
| Credential | BA |
| Practice Address |
520 Chestnut St Ravenna OH 44266 |
| Mailing Address |
6024 Schustrich Rd Mantua OH 44255 |
| Practice Telephone | 3302965552 |
| Practice Fax Number | 3302966126 |
| Mailing Telephone | 3302740514 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
520 CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| 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 |
|---|---|---|---|---|
| 1467917104 | Hannah Ruth Chilcot | Case Manager/Care Coordinator | 8998 Cooley Rd, Ravenna, OH 44266-9755 | 2019-02-06 |
| 1356837520 | Travis John Gorby | Case Manager/Care Coordinator | 4155 State Route 14, Ravenna, OH 44266-8739 | 2018-07-10 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1699274316 | Glady Sepulveda | Case Manager/Care Coordinator | 3305 Hommon Rd, Ravenna, OH 44266-3550 | 2018-02-08 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1275148223 | Alyssa Baynes | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-09-15 |
| 1740814359 | Kiersten Holman | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-02-24 |
| 1932731569 | Mikayla Saffels | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2020-02-11 |
| 1366088171 | Chelsea Marie Whitely | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2019-11-27 |
| 1770125353 | Michelle Leigh Dyer | Case Manager/Care Coordinator | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2019-10-15 |
| Find all providers in RAVENNA | ||||
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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.