Jodie Lynn Chlouber

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1130 Ely St
Ely, NV 89301-1661

Phone

(559) 679-3531

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1710523949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ELY ST",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893011661",
            "telephone_number": "559-679-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ELY ST",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893011661",
            "telephone_number": "559-679-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLOUBER",
        "first_name": "JODIE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1-855-950-0002",
            "affiliation": "N",
            "endpointDescription": "Office Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Fax",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Fax",
            "address_1": "1130 Ely St",
            "city": "Ely",
            "state": "NV",
            "country_code": "US",
            "postal_code": "893011661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roxanne G Bybee, APRN
• David Byun, DO
• Amy Campbell
• Matthew R Carter, MSW, CSW INTERN
• Casey Brewer, LCSW, LLC
• City of Ely (City of Ely Fire Department)
• Teresa Lynne Clark, RN
• Weslianne Coble
• Karen U. Collis, WHCNP
• Economy Drug, Inc.

• Behavior Technician in Ely, NV
• Providers in Ely, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.