Individual provider Active NPI

Rebecca K Cibik, MSN, APRN, CPNP-PC

  • Nurse Practitioner
  • Ravenna, OH
National Provider Identifier
1710526702
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20191390 Issued in OH
Practice address
2497 State Route 59
Ravenna, OH 44266-1641
Phone
(330) 676-1020
Fax
(330) 678-4092
NPI assigned
Dec 23, 2019
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20191390 OH Primary
Pediatrics Physician 208000000X 20191390 OH

Addresses

Primary practice location

2497 State Route 59
Ravenna, OH 44266-1641

Mailing address

7834 Castle Rock Dr NE
Warren, OH 44484-1409
Phone (330) 984-6132

Other names 1

  • Rebecca Tobin Former name

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
20191390OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children's Hospital Current Accepting new patients
Children's Hospital Medical Center of Akron PastSince Mar 4, 2021 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics PastSince Mar 4, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcibik75317@direct.chmca.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1710526702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7834 CASTLE ROCK DR NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841409",
            "telephone_number": "330-984-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 STATE ROUTE 59",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661641",
            "telephone_number": "330-676-1020",
            "fax_number": "330-678-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBIK",
        "first_name": "REBECCA",
        "middle_name": "K",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "20191390",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "20191390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "TOBIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.