Active NPI
Justin Michael Tubbs, BSN, RN
- Wound Care Registered Nurse
- Lincoln, NE
National Provider Identifier
1053263681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 80653
- Practice address
- 4025 N 17TH St
Lincoln, NE 68521-1914 - Phone
- (855) 888-8273
- NPI assigned
- Feb 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | 80653 | NE | Primary |
Addresses
Primary practice location
4025 N 17TH St
Lincoln, NE 68521-1914
Mailing address
4025 N 17TH St
Lincoln, NE 68521-1914
Phone (855) 888-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80653 | NE | MD | Wound Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771027200000",
"number": "1053263681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 N 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211914",
"telephone_number": "855-888-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 N 17TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211914",
"telephone_number": "855-888-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUBBS",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-14",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "NE",
"license": "80653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.