Active NPI
Pat Jubinville
- Point of Service
- Exeter, ME
National Provider Identifier
1043348733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- ALLS1364
- Practice address
- 280 Cider Hill Rd
Exeter, ME 04435-3011 - Phone
- (207) 379-3148
- NPI assigned
- Mar 2, 2007
- 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 |
|---|---|---|---|---|
| Point of Service | 305S00000X | ALLS1364 | ME | Primary |
Addresses
Primary practice location
280 Cider Hill Rd
Exeter, ME 04435-3011
Mailing address
280 Cider Hill Rd
Exeter, ME 04435-3011
Phone (207) 379-3148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215780000 | Medicaid | ME |
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 |
|---|---|---|---|
| ALLS1364 | ME | MD | Point of Service |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043348733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CIDER HILL RD",
"city": "EXETER",
"state": "ME",
"postal_code": "044353011",
"telephone_number": "207-379-3148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CIDER HILL RD",
"city": "EXETER",
"state": "ME",
"postal_code": "044353011",
"telephone_number": "207-379-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUBINVILLE",
"first_name": "PAT",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "ME",
"license": "ALLS1364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215780000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Exeter, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.