Individual provider Active NPI

Angela Hubbard, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1164094850
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016297 Issued in KY
Practice address
101 Town and Country LN Ste 100
Hazard, KY 41701-9524
Phone
(606) 439-1300
Fax
(606) 439-1400
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016297 KY Primary

Addresses

Primary practice location

101 Town and Country LN Ste 100
Hazard, KY 41701-9524

Mailing address

PO Box 1988
Hazard, KY 41702-1988
Phone (606) 435-7642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20210820002627 KY Practitioner - Nurse Practitioner 9234534710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Centers of Eastern Kentucky LLCGroup PAC ID 3971415993, 46 clinicians
Memorial Hospital, Inc.Group PAC ID 4486616141, 60 clinicians

Practice addresses (Care Compare)

101 Town and Country LN
Suite 100
Hazard, KY 41701-9524
Phone (606) 439-1300

21992 Main St
Hyden, KY 41749-8567
Phone (606) 672-5200

53 Queendale Ctr
Suite 2
Beverly, KY 40913-8621
Phone (606) 598-5135

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

  • AdventHealthManchester Hospital, Manchester, KY, CCN 180043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Aug 1, 2021 Accepting new patients
Memorial Hospital, Inc. Family CurrentSince Nov 1, 2025 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Aug 1, 2021 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Memorial Hospital Inc. Family CurrentSince Nov 1, 2025 Accepting new patients
Memorial Hospital, Inc. Past Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Past Accepting new patients

Locations

53 Queendale Ctr
Ste 2
Beverly, KY 40913
Phone (606) 598-5135

60 S Stewart Rd
Ste 110
Corbin, KY 40701
Phone (606) 658-8420

101 Town and Country Ln
#100
Hazard, KY 41701
Phone (606) 439-1300

145 Citizens Ln
Ste B
Hazard, KY 41701
Phone (606) 439-1300

425 Hindman Byp
Hindman, KY 41822
Phone (606) 785-1300

21992 Main St
Hyden, KY 41749
Phone (606) 672-5200

102 Professional Dr
#2
London, KY 40741
Phone (606) 598-4500

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

515 Memorial Dr
Ste 1
Manchester, KY 40962
Phone (606) 598-4500

12904 Robert L Madon Byp
#2
Pineville, KY 40977
Phone (606) 598-4508

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

47 Highway 119 S
Ste 3
Whitesburg, KY 41858
Phone (606) 403-0001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1164094850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-435-7642",
            "fax_number": "606-436-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN STE 100",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.