JANE MARIE KUBALA (NPI# 1053876128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053876128 |
| Entity Type | Individual |
| Full Name | JANE MARIE KUBALA |
| Practice Address |
13982 State Route 550 Fleming OH 45729-5048 |
| Practice Telephone | 7404343412 |
| Mailing Telephone | 7404343412 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
13982 STATE ROUTE 550 |
| City | FLEMING |
| State | OH |
| Zip Code | 45729-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187843 | Krista Ellizabeth Simon | Home Health Aide | 2697 Lake Rd, Fleming, OH 45729-5030 | 2020-09-03 |
| 1255758900 | Diane Webb | Specialist/Technologist, Other | 15724 State Route 550, Fleming, OH 45729-5065 | 2014-03-19 |
| 1912283854 | Sharon Louise Engle | Licensed Practical Nurse | 16050 State Route 550, Fleming, OH 45729-5068 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679187843 | Krista Ellizabeth Simon | Home Health Aide | 2697 Lake Rd, Fleming, OH 45729-5030 | 2020-09-03 |
| 1962915462 | Sheri Lynn Davis | Registered Nurse | 371 Apple St, Fleming, PA 16835-0039 | 2017-11-07 |
| 1134669930 | Mednet Colorado Medical Group, LLC | Physiological Laboratory | 14255 County Road 87, Fleming, CO 80728-9602 | 2017-02-28 |
| 1255758900 | Diane Webb | Specialist/Technologist, Other | 15724 State Route 550, Fleming, OH 45729-5065 | 2014-03-19 |
| 1447518063 | Mark Mcdonald P.t., P.C. | Physical Therapist | 102 W Larimer Street, Fleming, CO 80725 | 2012-05-02 |
| 1912283854 | Sharon Louise Engle | Licensed Practical Nurse | 16050 State Route 550, Fleming, OH 45729-5068 | 2011-10-24 |
| 1609937820 | Tanya Boyd | Licensed Practical Nurse | 2400 Lake Rd, Fleming, OH 45784 | 2006-12-12 |
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114195 | Madeline Rose Barnes | Student in an Organized Health Care Education/Training Program | 11322 Wilderness Way Ct, Belle Center, OH 43310-9330 | 2020-11-04 |
| 1073113940 | Chelsea Ann Winner | Student in an Organized Health Care Education/Training Program | 7395 State Route 119, Maria Stein, OH 45860-8717 | 2020-10-29 |
| 1770182578 | Abigail Morgan Naegele | Student in an Organized Health Care Education/Training Program | 9604 County Road 107 Unit 26, Proctorville, OH 45669-8023 | 2020-10-22 |
| 1720687833 | Bethany C Eagle | Student in an Organized Health Care Education/Training Program | 1015 Taylor Rd, Mansfield, OH 44903-7683 | 2020-10-20 |
| 1013515493 | Jonathan Ehrenkrantz | Student in an Organized Health Care Education/Training Program | 5720 Reigart Rd, Fairfield Township, OH 45011-2160 | 2020-10-16 |
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1376150854 | Diana Lynne Warner | Student in an Organized Health Care Education/Training Program | 7663 Fairground Rd, Blanchester, OH 45107-1548 | 2020-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.