Leonard Edwin Jury, E.M.P. C.L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN. 071984 Issued in OH

Practice address

615 Lake Ave
Ashtabula, OH 44004-3262

Phone

(440) 964-2361

Fax

(440) 964-0130

NPI assigned

Apr 20, 2007

Last updated

Feb 6, 2012By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Aloha Hands Bodyworks LLC

  • Specialist
  • Ashtabula, OH
  • NPI 1679991103
  NPD (past) Authorized official

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1285852988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W 19TH ST",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049721",
            "telephone_number": "440-964-2361",
            "fax_number": "440-964-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043262",
            "telephone_number": "440-964-2361",
            "fax_number": "440-964-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURY",
        "first_name": "LEONARD",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "E.M.P.      C.L.P.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 071984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Jones, LPN
• Shante Jones
• Sheetal Rashmikant Joshi
• Markel Joy
• Karen Lee Juhola
• Teresa L Jusko, AA
• Riley A Kackley
• Gurleen Kaur Kang, PHARMD
• Jessie Kankula
• Carrie Kaydo, LPN

• Licensed Practical Nurse in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.