Cheryl Lee Kublin, OTR-L

Primary specialty

SpecialistTaxonomy code 174400000X

License

5201002366 Issued in MI

Practice address

4554 W. 48TH St
Fremont, MI 49412

Phone

(231) 924-9295

Fax

(231) 924-9371

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1871864090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 S. STONE RD",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "49412",
            "telephone_number": "231-924-1995",
            "fax_number": "231-924-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 W. 48TH ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "49412",
            "telephone_number": "231-924-9295",
            "fax_number": "231-924-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBLIN",
        "first_name": "CHERYL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OTR-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5201002366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth B Weddell DDS PC (Fremont Dental Associates PC)
• Katlynn Suzanne Kern, NP
• Ashley Mae Klinger
• Michele Elisa Klukos, MS,PT
• Kathleen Curtis Korstange, M.A,
• Jeremy James Kuiper, M.D.
• Trisha Kulczyski, R.N.
• Mary Grace Lagare, PTR
• David Ervin Langholz, M.D.
• Heather Renae Lashuay, LLPC

• Specialist in Fremont, MI
• Providers in Fremont, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.