Clay J Hubble III, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP05824 Issued in LA

Practice address

1616 S Columbia St
Ste. C
Bogalusa, LA 70427-5880

Phone

(985) 735-1685

Fax

(985) 735-1088

NPI assigned

Jun 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

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  Medicare reassignment NPD
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  Nurse Practitioner

  Medicare reassignment NPD
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  • Emergency Medicine Physician
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  • NPI 1891187654
  Medicare reassignment NPD
• St. Bernard Emergency Group, LLC

  • Emergency Medicine Physician
  • Chalmette, LA
  • NPI 1306386685

  Nurse Practitioner

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Shapiro Dimitri Medical, LLC

  • Dermatology Physician
  • Meridian, MS
  • NPI 1124373030
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1295963692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SAINT ANN DR",
            "address_2": "SUITE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-624-5410",
            "fax_number": "985-624-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 S COLUMBIA ST",
            "address_2": "STE. C",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704275880",
            "telephone_number": "985-735-1685",
            "fax_number": "985-735-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBLE",
        "first_name": "CLAY",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05824",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gay Holmes, NP
• Stephen Ryan Honeycutt, PAC
• Judy K Hooks, LCSW
• Hossein Khazei Tabari LTD
• House of Love, LLC
• Hubert B. Williams, D.C.
• Darryl G. Hughes, C.R.N.A.
• Jill Suzanne Hughes, COTA, LPN
• Hamid Hussain, M.D.
• In Care N Hands LLC

• Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.