Individual provider Active NPI

Lou Ann Hubbard, CRNP

  • Family Nurse Practitioner
  • Guin, AL
National Provider Identifier
1245276468
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029249 Issued in AL
Practice address
252 13TH Ave W
Guin, AL 35563-2355
Phone
(205) 468-3355
NPI assigned
Jun 22, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1029249 AL Primary

Addresses

Primary practice location

252 13TH Ave W
Guin, AL 35563-2355

Mailing address

PO Box 340
Guin, AL 35563-0340
Phone (205) 468-3355

Other identifiers 2

IdentifierTypeStateIssuer
051000196OtherALBLUE CROSS
891008800MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100421000101 AL Practitioner - Nurse Practitioner 7113054362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

252 13TH Ave W
Guin, AL 35563-2355
Phone (205) 468-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1029249ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lou Ann Hubbard LLC Family CurrentSince Jan 1, 2014 Accepting new patients
NWMC Winfield Physicians LLC Family CurrentSince Jan 1, 2015 Accepting new patients
Kimberly Balasky DO PC Current Accepting new patients
NWMC-Winfield Physician Practices, LLC Past Accepting new patients
NWMC-Winfield Physician Practices, LLC Past Accepting new patients

Locations

252 13th Ave W
Guin, AL 35563
Phone (205) 468-2220

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

200 Carraway Dr
Ste B1
Winfield, AL 35594
Phone (205) 487-7000

Interoperability endpoints

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

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245276468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355630340",
            "telephone_number": "205-468-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 13TH AVE W",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355632355",
            "telephone_number": "205-468-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LOU",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1029249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051000196",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891008800",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guin, AL

Sources for this page

Verify at the official NPI Registry.