Individual provider Active NPI

Cozetta Lee Hubbard

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1306506985
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024183289 Issued in VA
Practice address
6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060
Phone
(800) 765-7130
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183289 VA Primary

Addresses

Primary practice location

6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060

Mailing address

6701 Peters Creek Rd Ste 110
Roanoke, VA 24019-4060
Phone (800) 765-7130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220401000155 VA Practitioner - Nurse Practitioner 1951797851 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starting Point of Virginia PCGroup PAC ID 9931535820, 26 clinicians

Practice addresses (Care Compare)

1555 Meadowview Dr
Suite 7
Danville, VA 24541-7352
Phone (800) 805-6989

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024183289VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Geriatric Solutions PLLC CurrentSince Sep 1, 2022 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Dec 9, 2025 Accepting new patients
Universal Health Corporation CurrentSince Mar 14, 2022 Accepting new patients
Starting Point of Virginia, P.C. CurrentSince Dec 9, 2025 Accepting new patients
Virginia Treatment Center of Lynchburg PC CurrentSince Dec 9, 2025 Accepting new patients
Crossroads Treatment Center of Danville, PC CurrentSince Dec 1, 2025 Accepting new patients
Psychogeriatric Services LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

301 Falls Dr NW
Ste 353
Abingdon, VA 24210
Phone (804) 431-5585

1555 Meadowview Dr
Ste 7
Danville, VA 24541
Phone (434) 333-6923

2250 Murrell Rd
Ste B
Lynchburg, VA 24501

2250 Murrell Rd
Lynchburg, VA 24501
Phone (434) 444-9902

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

445 Commonwealth Blvd E
Ste B
Martinsville, VA 24112
Phone (276) 632-3841

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

500 Pegasus Ct
Ste 508
Winchester, VA 22602
Phone (540) 974-5445

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1306506985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 110",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 PETERS CREEK RD STE 110",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194060",
            "telephone_number": "800-765-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "COZETTA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.