Individual provider Active NPI

Eileen F Hubler, NP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1346210374
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222087 Issued in NC
Practice address
925 N 4TH St
Wilmington, NC 28401-3450
Phone
(910) 343-0270
NPI assigned
Jan 24, 2006
Last updated
Jun 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222087 NC Primary

Addresses

Primary practice location

925 N 4TH St
Wilmington, NC 28401-3450

Mailing address

304 44TH Ave N
North Myrtle Beach, SC 29582-1436
Phone (856) 912-0448

Other identifiers 1

IdentifierTypeStateIssuer
1346210374MedicaidNC

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
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222087NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hanover Community Health Center Incorporated CurrentSince Jan 14, 2024 Accepting new patients
Cooper Family Medicine PC Past Accepting new patients
Beach Urgent Care PastSince Sep 16, 2012 Accepting new patients
Cooper Family Medicine, PC Past Accepting new patients

Locations

240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656

925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1346210374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 44TH AVE N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295821436",
            "telephone_number": "856-912-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-343-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBLER",
        "first_name": "EILEEN",
        "middle_name": "F",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "222087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346210374",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.