MS. CHARLETTA ANN GIBBS (NPI# 1881237915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881237915 |
| Entity Type | Individual |
| Full Name | MS. CHARLETTA ANN GIBBS |
| Practice Address |
2421 13th St Nw Canton OH 44708-3116 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3305882212 |
| Practice Fax Number | 3305882216 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-10-01 |
| 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 |
2421 13TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679682736 | Cynthia L Daugherty | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2006-08-30 |
| 1073110664 | Juliana Pondur | Registered Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-10-06 |
| 1487265930 | Raymond Neal Menefee | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-08-10 |
| 1609493766 | Samantha Clare May | Case Manager/Care Coordinator | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1083231146 | Lindsey Ann Breitfeller | Social Worker | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1053933283 | Midge Ann Clark | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-05-11 |
| 1932729837 | Latoya Hicks-gooden | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-04-21 |
| 1528694908 | Chantel Dominique Stewart | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-03-18 |
| 1154952448 | Jessica A Eicher | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-01-27 |
| 1558917948 | Kortney Baker | Nurse's Aide | 2421 13th St Nw, Canton, OH 44708-3116 | 2019-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| 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 |
|---|---|---|---|---|
| 1255949475 | Olivia Clare Peer | Case Manager/Care Coordinator | 800 Market Ave N Ste 1600, Canton, OH 44702-2305 | 2020-07-14 |
| 1275154916 | Margaret Speller | Case Manager/Care Coordinator | 626 Walnut Ave Ne, Canton, OH 44702-1081 | 2020-05-05 |
| 1376034728 | Tyreia Louise Grimes | Case Manager/Care Coordinator | 122 Central Plz N Lowr Level, Canton, OH 44702-1448 | 2018-05-22 |
| 1013419084 | Susan Marie Rayner | Case Manager/Care Coordinator | 400 Tuscarawas St W Ste 300, Canton, OH 44702-2044 | 2018-03-06 |
| 1073051272 | R'ajja Lee Turpin-allison | Case Manager/Care Coordinator | 3236 Kalahari St Ne, Canton, OH 44705-3606 | 2017-02-08 |
| 1053863159 | Loralynn Wharton | Case Manager/Care Coordinator | 321 Ironwood St Se, Canton, OH 44707-1458 | 2016-10-25 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1447632120 | Rashan Hall | Case Manager/Care Coordinator | 1321 18th St Ne, Canton, OH 44705-1225 | 2015-06-18 |
| 1639418163 | Marilynn L Farrow | Case Manager/Care Coordinator | 1522 Timber Trce, Canton, GA 30114-8900 | 2013-02-04 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| Find all providers in CANTON | ||||
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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.