Active NPI
Jessica Louise Hubbs, M.D.
- Student in an Organized Health Care Education/Training Program
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 420 Delaware Street SE, MMC #395
Minneapolis, MN 55455 - Phone
- (612) 626-6628
- NPI assigned
- Apr 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
420 Delaware Street SE, MMC #395
Minneapolis, MN 55455
Mailing address
420 Delaware Street SE MMC #395
Minneapolis, MN 55455
Phone (612) 626-6628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
300 20th Ave N
Fl 9
Nashville, TN 37203
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
dba Ascension Medical Group Saint Thomas
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Saint Thomas Rutherford
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1346684578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET SE MMC #395",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DELAWARE STREET SE, MMC #395",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-6628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBS",
"first_name": "JESSICA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.