Active NPI
William Gene Bibbus
- Foster Care Agency
- Meadview, AZ
National Provider Identifier
1801140207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 1747326
- Practice address
- 1515 Wishing Well Dr
Meadview, AZ 86444-0729 - Phone
- (484) 824-3068
- NPI assigned
- Nov 7, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Child Mental Illness Respite Care | 385HR2055X | 1747326 | AZ | |
| Foster Care Agency | 253J00000X | 1747326 | AZ | Primary |
Addresses
Primary practice location
1515 Wishing Well Dr
Meadview, AZ 86444-0729
Mailing address
PO Box 729
Meadview, AZ 86444-0729
Phone (484) 824-3068
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 |
|---|---|---|---|
| 1747326 | AZ | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1801140207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "MEADVIEW",
"state": "AZ",
"postal_code": "864440729",
"telephone_number": "484-824-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 WISHING WELL DR",
"city": "MEADVIEW",
"state": "AZ",
"postal_code": "864440729",
"telephone_number": "484-824-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBBUS",
"first_name": "WILLIAM",
"middle_name": "GENE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-07",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "1747326",
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "AZ",
"license": "1747326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meadview, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.