Raquel Phillips Hubbard, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

0000215003 Issued in TN

Practice address

931 Industrial Park Rd
Dandridge, TN 37725-4701

Phone

(865) 397-3930

NPI assigned

Jan 14, 2019

Last updated

Jan 14, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1346714318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 ROCKY BRANCH RD",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378615607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 INDUSTRIAL PARK RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254701",
            "telephone_number": "865-397-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "RAQUEL",
        "middle_name": "PHILLIPS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "0000215003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Darlene Hill, MS, CCC-SLP
• Gary Lynn Hixson Jr., CPHT
• Kendal Wells Holbrook, FNP
• Marilyn Diane Holloway, R.N.
• Sarah Hoose
• David Lucas James
• Jeffco Drugcenter in Dandridge, Inc.
• Jefferson County Board of Education
• Jefferson County Emergency Medical Serv.
• Jefferson County Hma, LLC (Tennova Healthcare-Rehab Services)

• Community Health Registered Nurse in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Community Health Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.