Active NPI
Julie Anne Dubose, CNM
- Advanced Practice Midwife
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- NM 05812
- Practice address
- 3545 Ridge Rd
Cleveland, OH 44102-5464 - Phone
- (216) 281-0872
- Fax
- (216) 281-9565
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NM 05812 | OH | Primary |
Addresses
Primary practice location
3545 Ridge Rd
Cleveland, OH 44102-5464
Mailing address
3545 Ridge Rd
Cleveland, OH 44102-5464
Phone (216) 281-0872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2332578 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040719000243 | OH | Practitioner - Certified Nurse Midwife (CNM) | 0446239149 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neighborhood Health Care Incorporated
Practice addresses (Care Compare)
3466 Saint Roccos CT
Suite 2
Cleveland, OH 44109-1543
Phone (216) 281-0872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 05812 | OH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Wadsworth Rittman Hospital Professional Service Corp | Past | Accepting new patients | |
| Fairview Hospital | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients |
Locations
3545 Ridge Rd
Cleveland, OH 44102
Phone (216) 961-6860
3569 Ridge Rd
Cleveland, OH 44102
4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129
6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733
2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800
14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950
11709 Lorain Ave
Cleveland, OH 44111
Phone (216) 367-1004
13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046
3545 Ridge Rd
Ste 2
Cleveland, OH 44102
Phone (216) 961-6860
11906 Madison Ave
Lakewood, OH 44107
Interoperability endpoints
- jkellon23141@direct.ochin.org
Organizations & group practices 18
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.
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1326690934
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1295786267
-
- Pharmacy
- Cleveland, OH
- NPI 1205327095
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1306268677
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1316148745
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1437539517
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1477823565
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1669146908
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1831666965
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1568014173
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1962831966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1831135342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 RIDGE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441025464",
"telephone_number": "216-281-0872",
"fax_number": "216-281-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 RIDGE RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441025464",
"telephone_number": "216-281-0872",
"fax_number": "216-281-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOSE",
"first_name": "JULIE",
"middle_name": "ANNE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "NM 05812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2332578",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.