Jillian Hubbel, L-AT, CMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1205 Issued in OK

Practice address

3330 N Mingo Rd
Tulsa, OK 74116-1211

Phone

(918) 832-2404

Fax

(918) 832-2406

NPI assigned

Feb 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1225428873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S 164TH EAST PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741083306",
            "telephone_number": "209-648-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741161211",
            "telephone_number": "918-832-2404",
            "fax_number": "918-832-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBEL",
        "first_name": "JILLIAN",
        "credential": "L-AT, CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000021465",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "20318",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Hubbard, MD
• Mikayla R Hubbard
• Sarah E Hubbard, M.A., CM II
• Tara Hubbard
• Timothy George Hubbard, BA CMD
• Cassidy Marie Hubbs
• Ella Faith Hubener
• Kristin Suzanne Huber, LCSW
• Merry Margaret Huber, APRN-CNP PMHNP
• John E Hubner, M.D.

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.