Cindy Louise Joubert, COTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

004694-1 Issued in NY

Practice address

2155 State Route 22B
Morrisonville, NY 12962-3417

Phone

(518) 562-3847

NPI assigned

Dec 28, 2008

Last updated

Dec 28, 2008By 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": "1230422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230422400000",
    "number": "1942446737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 THE PORTAGE",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128831415",
            "telephone_number": "518-585-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 STATE ROUTE 22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129623417",
            "telephone_number": "518-562-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBERT",
        "first_name": "CINDY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-28",
        "last_updated": "2008-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "004694-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Hoffman, REGISTERED NURSE
• Marlene Holmes, CASAC-II
• Heather Ihrig, RN
• Laael Johnson, RDH
• Brendan Kevin Jones
• Amy Elizabeth Kacprzycki, RN
• Amber Elizabeth Keable, RN
• Jennifer Kelly, LMSW
• Anthony H Kim, MD
• Sharon Ann Kinblom

• Community Health Worker in Morrisonville, NY
• Providers in Morrisonville, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2008; 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.