Alexandra Noelle Hubbard, RDN

Primary specialty

Gerontological Nutrition Registered DietitianTaxonomy code 133VN1101X

License

0636 Issued in SD

Practice address

210 N Sebree PL
Pierre, SD 57501-2045

Phone

(570) 439-4760

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By 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

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1285249466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N SEBREE PL",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012045",
            "telephone_number": "570-439-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SEBREE PL",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012045",
            "telephone_number": "570-439-4760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Sebree Pl",
            "address_purpose": "LOCATION",
            "city": "Pierre",
            "state": "SD",
            "postal_code": "575012045",
            "country_code": "US",
            "telephone_number": "570-439-4760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "ALEXANDRA",
        "middle_name": "NOELLE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1101X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": "SD",
            "license": "0636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Lynn Hogie-Lorenzen, CNP
• Deborah Ann Holland, PT
• Wren Hollingsworth, CNP
• Homecare Services of South Dakota, Inc.
• Ranni Mikael Hopkins, PA-S
• Thomas John Huber, M.D.
• Hughes County Jail
• Kelsey Marie Hupp, FNP-C
• Kacey Beth Hutchison, MA, LSW, LAC, LPC
• Sierra Irwin

• Registered Dietitian in Pierre, SD
• Providers in Pierre, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.