Callie R Hubbard, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1081647 Issued in TX

Practice address

1703 S 3Rd St
Mabank, TX 75147-7301

Phone

(903) 255-7189

NPI assigned

Jun 7, 2022

Last updated

Sep 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Medical Physician GroupGroup PAC ID 7517194491, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Dallas Medical Physician Group

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1033551312

  Family

  Medicare reassignment Care Compare group NPD
• QV Urgent Care TX PLLC

  dba QuickVisit Urgent Care

  • Family Medicine Physician
  • Henderson, TX
  • NPI 1568098887
  Medicare reassignment NPD
• Dallas Medical Physician Group

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1861802902
  NPD
• QV Urgent Care TX PLLC

  dba QuickVisit Urgent Care

  • Rural Health Clinic/Center
  • Madisonville, TX
  • NPI 1669198347
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663977600000",
    "number": "1144959008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 STATE HIGHWAY 198",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "751034689",
            "telephone_number": "903-830-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S 3RD ST",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751477301",
            "telephone_number": "903-255-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7124 State Highway 198",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "TX",
            "postal_code": "751034689",
            "country_code": "US",
            "telephone_number": "903-830-0228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N Galloway Ave",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492435",
            "country_code": "US",
            "telephone_number": "214-320-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "CALLIE",
        "middle_name": "R",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-09-24",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1081647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy L Hanson, MS, LPC
• Kirby Tate Hardy Jr., RPH
• Richard James Harris, D.C.
• Nicole Marcy Ho Lem, D.C.
• Home Care Image Services, Inc
• Kelly M Jennings, LPC ASSOCIATE
• Amber Johnson, LPC-ASSOCIATE
• Jennifer Karr, LPC-S
• Odelia Eunhae Kim, DDS
• Andrea Kronlage

• Family Nurse Practitioner in Mabank, TX
• Providers in Mabank, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.