Jackie Lorraine Duboise, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004954 Issued in OH

Practice address

5119 Talmadge Rd
Toledo, OH 43623-2135

Phone

(425) 951-0506

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1770302101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232135",
            "telephone_number": "425-951-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232135",
            "telephone_number": "425-951-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOISE",
        "first_name": "JACKIE",
        "middle_name": "LORRAINE",
        "credential": "CPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changning Du, D.D.S.
• Eloisa Duarte, MA, LPCC
• Juan M Duarte III, CDCA
• Manasa Reddy Dubba
• Aayush Mukund Dubey, DDS
• Rakeya Dubose
• Jennifer Ann Dubow, MSW LISW
• Prita Naaz Dubraj
• Duchon Orthodontics
• Deborah Ann Duda, FNP-C

• Peer Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.