Michelle Hutt Lubkemann, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

101640 Issued in NC

Practice address

345 Deerfield Rd
Suite a
Boone, NC 28607-5009

Phone

(828) 262-0100

Fax

(828) 264-7592

NPI assigned

Sep 19, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michellelubkemann@brpami.allscriptsdirect.net

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.

• Blue Ridge Pediatric & Adolescent Medicine, Inc

  • Pediatrics Physician
  • Boone, NC
  • NPI 1114038163
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275729642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-262-0100",
            "fax_number": "828-264-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "address_2": "SUITE A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-262-0100",
            "fax_number": "828-264-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBKEMANN",
        "first_name": "MICHELLE",
        "middle_name": "HUTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD LICENSE",
            "identifier": "101640",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logos Physical Therapy, Inc.
• John Robert Lonas, MD
• Rebecca Dianne Long, MC, NCC, LCAS, LCMHC
• Luz Lopez, DMD
• Denise Lovin
• Cameron Lucas, RBT
• Jessica Lucero, NP
• Lisbette R Lundgren, MA., LMFT
• Matthew Anthony Lutz, PA-C
• Denise Bost Luxton

• Medical Physician Assistant in Boone, NC
• Providers in Boone, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.