Active NPI
Jerome N Joseph, CERTIFIED
- Athletic Trainer
- Lehigh Acres, FL
National Provider Identifier
1821643099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 3108 6TH St W
Lehigh Acres, FL 33971-1460 - Phone
- (239) 491-4700
- Fax
- (877) 836-4662
- NPI assigned
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | |||
| Athletic Trainer | 2255A2300X | FL | Primary |
Addresses
Primary practice location
3108 6TH St W
Lehigh Acres, FL 33971-1460
Mailing address
3108 6TH St W
Lehigh Acres, FL 33971-1460
Phone (239) 491-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXX | Other | FL | ACE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | JEBSADVERTISING@OUTLOOK.COM | JOEANNETHOMASJOSEPH - JEBS CONSULTANTS | |
| Direct Messaging Address | JEBSADVERTISING@OUTLOOK.COM | Direct | JOEANNETHOMASJOSEPH - JEBS CONSULTANTS |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joeannethomasjoseph - Jebs Consultants | Athletic Trainer | Current | Accepting new patients |
| Joeannethomasjoseph Company | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Physician Office Based Coding Specialist
- Lehigh Acres, FL
- NPI 1598319410
Athletic Trainer
-
- Massage Therapist
- Lehigh Acres, FL
- NPI 1467007864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1821643099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 6TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711460",
"telephone_number": "239-491-4700",
"fax_number": "877-836-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 6TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339711460",
"telephone_number": "239-491-4700",
"fax_number": "877-836-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JEROME",
"middle_name": "N",
"credential": "CERTIFIED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-05",
"last_updated": "2023-11-27",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACE",
"identifier": "XXX",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "JEBSADVERTISING@OUTLOOK.COM",
"affiliation": "Y",
"affiliationName": "JOEANNETHOMASJOSEPH - JEBS CONSULTANTS",
"address_1": "3108 6th St W",
"city": "Lehigh Acres",
"state": "FL",
"country_code": "US",
"postal_code": "339711460",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JEBSADVERTISING@OUTLOOK.COM",
"affiliation": "Y",
"affiliationName": "JOEANNETHOMASJOSEPH - JEBS CONSULTANTS",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3108 6th St W",
"city": "Lehigh Acres",
"state": "FL",
"country_code": "US",
"postal_code": "339711460",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.