Leah Alexis Jubelt

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

94405A Timberline Dr
Fort Drum, NY 13603-3264

Phone

(315) 420-0044

NPI assigned

Jun 7, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1053672873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94405A TIMBERLINE DR",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136033264",
            "telephone_number": "315-420-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94405A TIMBERLINE DR",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136033264",
            "telephone_number": "315-420-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBELT",
        "first_name": "LEAH",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa H Johnson, DDS
• Wayne Michael Johnson, PTA, CCI
• Christopher Allen Jones, PHARMD.
• Diane Keating Jones, D.O
• Spencer Joseph, DDS
• Carolyn Jukic, LSW
• Kaliope Goutis
• Yadriana Maria Kavitz, STUDENT
• Michael L Kehoe, MSW
• Stephen Keller, PSYD

• Case Manager/Care Coordinator in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.