Individual provider Active NPI

Juliet Raine Stuber, AUD

  • Audiologist
  • Camillus, NY
National Provider Identifier
1639060874
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
003318 Issued in NY
Practice address
5639 W Genesee St
Camillus, NY 13031-1250
Phone
(315) 468-2985
NPI assigned
Jul 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 003318 NY Primary

Addresses

Primary practice location

5639 W Genesee St
Camillus, NY 13031-1250

Mailing address

4761 Edgeworth Dr
Manlius, NY 13104-2105
Phone (315) 882-7859

Other practice location 1

7000 E Genesee St Bldg E
Fayetteville, NY 13066-1131
Phone (315) 565-3250

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
003318NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Audiology Care, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1639060874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 EDGEWORTH DR",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131042105",
            "telephone_number": "315-882-7859",
            "fax_number": "315-882-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5639 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311250",
            "telephone_number": "315-468-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 E Genesee St Bldg E",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661131",
            "country_code": "US",
            "telephone_number": "315-565-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBER",
        "first_name": "JULIET",
        "middle_name": "RAINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "003318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.