Active NPI
Abegail Lopez Hubberd, DNP, APRN, GNP-BC
- Gerontology Nurse Practitioner
- Jbsa Ft Sam Houston, TX
National Provider Identifier
1306879903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 621773
- Practice address
- 3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504 - Phone
- (210) 870-6318
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 621773 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 870-6318
Other practice location 1
315 N San Saba
Suite 102
San Antonio, TX 78207-3154
Phone (210) 277-1418
Other practice location 2
1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Phone (210) 292-4045
Other names 1
- Abegail Pineda Lopez
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | abegail.l.hubberd.ctr@mail.mil | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621773 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SNG - Barlite San Saba Dialysis Centers LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Antonio, TX
- NPI 1760700298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1306879903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-870-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "JBSA FT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-870-6318"
}
],
"practiceLocations": [
{
"address_1": "315 N San Saba",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782073154",
"country_code": "US",
"telephone_number": "210-277-1418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-292-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBERD",
"first_name": "ABEGAIL",
"middle_name": "LOPEZ",
"credential": "DNP, APRN, GNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "621773",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "abegail.l.hubberd.ctr@mail.mil",
"affiliation": "N",
"endpointDescription": "abegail.l.hubberd.ctr@mail.mil",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1100 Wilford Hall Loop",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782365638",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ABEGAIL",
"last_name": "LOPEZ",
"middle_name": "PINEDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jbsa Ft Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.