Individual provider Active NPI

Julie Anne Dubose, CNM

  • Advanced Practice Midwife
  • Cleveland, OH
National Provider Identifier
1831135342
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NM 05812 Issued in OH
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

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2332578MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncorporatedGroup PAC ID 2668466012, 68 clinicians

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

LicenseStateTypeSpecialty
NM 05812OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Care Incorporated CurrentSince Apr 20, 2019 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Jan 14, 2024 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Jan 14, 2024 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

  • Direct secure messaging: 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.

View all 18

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

Verify at the official NPI Registry.