Active NPI
Shunte Hubbard, PA-C
- Physician Assistant
- Richardson, TX
National Provider Identifier
1316357288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04388
- Practice address
- 610 N Coit Rd
Richardson, TX 75080-5474 - Phone
- (973) 331-7334
- NPI assigned
- May 1, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04388 | TX | Primary |
Addresses
Primary practice location
610 N Coit Rd
Richardson, TX 75080-5474
Mailing address
9309 Sterling Gate Dr
McKinney, TX 75070-4905
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1316357288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9309 STERLING GATE DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750704905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N COIT RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750805474",
"telephone_number": "973-331-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "SHUNTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.