Active NPI
Jeffrey Archibald, NP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kent, OH
National Provider Identifier
1457217101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2025027170
- Practice address
- 1375 University Esplanade
Kent, OH 44242 - Phone
- (330) 672-7930
- NPI assigned
- Dec 26, 2025
- Last updated
- Dec 26, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025027170 | OH | Primary |
Addresses
Primary practice location
1375 University Esplanade
Kent, OH 44242
Mailing address
10166 Johnston St NW
Canal Fulton, OH 44614-8429
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025027170 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1457217101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10166 JOHNSTON ST NW",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446148429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 UNIVERSITY ESPLANADE",
"city": "KENT",
"state": "OH",
"postal_code": "44242",
"telephone_number": "330-672-7930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHIBALD",
"first_name": "JEFFREY",
"credential": "NP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-26",
"last_updated": "2025-12-26",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "2025027170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.