Raven M Hubbert

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

0021059 Issued in WI

Practice address

2902 W Roosevelt Dr
Milwaukee, WI 53216-1838

Phone

(414) 982-8107

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1336810217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W ROOSEVELT DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161838",
            "telephone_number": "414-982-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W ROOSEVELT DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161838",
            "telephone_number": "414-982-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBERT",
        "first_name": "RAVEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WI",
            "license": "0021059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100393125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Hubbard, CFNP
• Stepheny Hubbard
• Geoffrey Adam Hubbell, M.D.
• Ryan James Hubbell, MD
• Dabritta Hubbert
• Autumn Huber
• Jacob Thomas Huber, APSW
• Kathleen Huber, RDN
• Robert G Huberty, LCSW
• Theodore James Hubley, MD

• Adult Care Home Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Adult Care Home Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.