Stephanie Alice Hibbard, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1014495 Issued in MA

Practice address

140 High St Ste 1
Springfield, MA 01105-1442

Phone

(413) 794-2515

Fax

(413) 794-5673

NPI assigned

May 8, 2020

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

Other names 1

• Stephanie Alice Moriarty Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1177/brand/1/csg/1/fhir/r4
• Direct secure messaging: stephanie.hibbard.1@1177.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baystate Medical Practices, Inc

  • Pediatrics Physician
  • Springfield, MA
  • NPI 1033275284
  NPD (past)
• Pioneer Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Longmeadow, MA
  • NPI 1942371737
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1093337404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIGH ST STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051442",
            "telephone_number": "413-794-2515",
            "fax_number": "413-794-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBARD",
        "first_name": "STEPHANIE",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "1014495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MORIARTY",
            "middle_name": "ALICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul C Hetzel, M.D.
• Jillian R Hevey, PA
• Lindsey Hewins
• Aaron Hexdall, MD
• Christopher Hibbard, CRNA
• Meghan K. Hickey, MD
• Richard J Hicks, MD
• Riley Hicks
• Shannon Ashley Hicks, MSW, LCSW
• Theresa Hickson

• Pediatrics Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.