Jennifer Lee Gibbs, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9232 Issued in OH

Practice address

3637 Medina Rd
Suite 220
Medina, OH 44256-9654

Phone

(330) 952-0403

Fax

(330) 952-0826

NPI assigned

Sep 18, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1053645390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MILLER RD",
            "address_2": "BLDG. 150A",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333770",
            "telephone_number": "330-867-2240",
            "fax_number": "330-867-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 MEDINA RD",
            "address_2": "SUITE 220",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569654",
            "telephone_number": "330-952-0403",
            "fax_number": "330-952-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP9232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Gemberling, LISW-S
• Kyrstin J Gentilcore, QMHS
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• Gentry Health Services Inc
• Joseph A George
• Sara Gibson
• Lisa Giddens
• Shellene Louise Gilbert
• Jackson Paul Gilbride, RPH
• Corey Gildea

• Speech-Language Pathologist in Medina, OH
• Providers in Medina, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.