Jill Laura Kuebler, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

96271955 Issued in MI

Practice address

11 N Maple St
Grant, MI 49327-7900

Phone

(231) 834-9732

Fax

(231) 834-0962

NPI assigned

May 9, 2024

Last updated

May 9, 2024By 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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1952159493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W 104TH ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493278643",
            "telephone_number": "231-519-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAPLE ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493277900",
            "telephone_number": "231-834-9732",
            "fax_number": "231-834-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEBLER",
        "first_name": "JILL",
        "middle_name": "LAURA",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "96271955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Marie Hunter, PA-C
• Nora J Jacobson, LPN
• Jeffrey Dean Johnson, MD
• Maliah Johnson, RDH
• Kortnie A Karp, PA-C
• Heidi Kulhawik Angelini
• Abrielle Kay Lamphere, RDH
• Patricia A Lewis, FNP
• Amy Loper, RDH
• Breanna Marie Manchip, PA-C

• Community Health Worker in Grant, MI
• Providers in Grant, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.