JACOB GIBBS MHPP/TACHER
NPI 1629383427
Case Manager/Care Coordinator in Fayetteville, AR

Q: What is Jacob Gibbs's NPI number?

The NPI number for Jacob Gibbs is 1629383427. It was assigned to this individual provider in the NPPES registry on August 17, 2010.

Q: What is Jacob Gibbs's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Gibbs was last updated on August 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2010

2805 E ZION RD, FAYETTEVILLE, AR 72703(479) 443-6496(479) 443-2519 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Gibbs Mhpp/tacher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB GIBBS MHPP/TACHER (NPI 1629383427) is an individual case manager/care coordinator provider in Fayetteville, Arkansas and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1629383427

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameJACOB GIBBSCredential: MHPP/TACHER

Location Address2805 E ZION RDFayetteville, AR 72703-5195

Mailing Address3352 N Futrall DrFayetteville, AR 72703-4057 · (479) 521-1427 · Fax (479) 521-6520

Phone(479) 443-6496

Fax(479) 443-2519

Sole ProprietorNo

Enumeration DateAugust 17, 2010

✔ NPI 1629383427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

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.

2805 E ZION RD, Fayetteville, AR 72703

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAO LEE MHPP

Case Manager/Care Coordinator