Active NPI
Cozetta Lee Hubbard
- Psychiatric/Mental Health Nurse Practitioner
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024183289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024183289 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Geriatric Solutions PLLC | Current | Accepting new patients | |
| Starting Point of Virginia, P.C. | Current | Accepting new patients | |
| Universal Health Corporation | Current | Accepting new patients | |
| Starting Point of Virginia, P.C. | Current | Accepting new patients | |
| Virginia Treatment Center of Lynchburg PC | Current | Accepting new patients | |
| Crossroads Treatment Center of Danville, PC | Current | Accepting new patients | |
| Psychogeriatric Services LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Abingdon, VA
- NPI 1760949127
-
- Geriatric Medicine (Internal Medicine) Physician
- Roanoke, VA
- NPI 1568093672
-
- Internal Medicine Physician
- Roanoke, VA
- NPI 1407117625
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Lynchburg, VA
- NPI 1902791353
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Danville, VA
- NPI 1225570195
-
- Clinical Medical Laboratory
- Abingdon, VA
- NPI 1720656259
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.