Active NPI
Teresa Evalyn Knox-Gibbs, MASTERS
- Case Manager/Care Coordinator
- Flint, MI
National Provider Identifier
1215544770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1420 University Ave
Flint, MI 48504-6208 - Phone
- (810) 238-0475
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | MI | Primary |
Addresses
Primary practice location
1420 University Ave
Flint, MI 48504-6208
Mailing address
4098 W Frances Rd
Clio, MI 48420-8521
Phone (810) 577-8730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | MI | EASTER SEALS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1215544770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4098 W FRANCES RD",
"city": "CLIO",
"state": "MI",
"postal_code": "484208521",
"telephone_number": "810-577-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 UNIVERSITY AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485046208",
"telephone_number": "810-238-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX-GIBBS",
"first_name": "TERESA",
"middle_name": "EVALYN",
"credential": "MASTERS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EASTER SEALS",
"identifier": "171M00000X",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.