Active NPI
Akwasiba Ferrell-Carter Bibbs
- Case Manager/Care Coordinator
- Beachwood, OH
National Provider Identifier
1629831953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3793 Green Rd
Beachwood, OH 44122-5705 - Phone
- (216) 232-5302
- Fax
- (216) 393-3690
- NPI assigned
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3793 Green Rd
Beachwood, OH 44122-5705
Mailing address
3655 E 116TH St
Cleveland, OH 44105-2515
Phone (216) 415-9849
Other names 1
- Mr. Kwasi Bibbs
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": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1629831953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 E 116TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441052515",
"telephone_number": "216-415-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3793 GREEN RD",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225705",
"telephone_number": "216-232-5302",
"fax_number": "216-393-3690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBS",
"first_name": "AKWASIBA",
"middle_name": "FERRELL-CARTER",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KWASI",
"last_name": "BIBBS",
"prefix": "MR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.