Individual provider Active NPI

Christine Marie Juleff

  • Personal Care Attendant
  • Newbury, OH
National Provider Identifier
1073100384
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
0245258 Issued in OH
Practice address
11091 Kimmeridge TRL
Newbury, OH 44065-9628
Phone
(440) 479-5323
NPI assigned
Dec 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 0245258 OH Primary

Addresses

Primary practice location

11091 Kimmeridge TRL
Newbury, OH 44065-9628

Mailing address

11091 Kimmeridge TRL
Newbury, OH 44065-9628
Phone (440) 479-5323

Other identifiers 1

IdentifierTypeStateIssuer
0245258MedicaidOH

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

LicenseStateTypeSpecialty
0245258OHMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1073100384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11091 KIMMERIDGE TRL",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659628",
            "telephone_number": "440-479-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11091 KIMMERIDGE TRL",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659628",
            "telephone_number": "440-479-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULEFF",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "0245258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.