Individual provider Active NPI

Danielle Marie Hubbard, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1386420610
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
HUBB-5O0LM Issued in NC
Practice address
16455 Statesville Rd Ste 310
Huntersville, NC 28078-7102
Phone
(704) 377-5772
NPI assigned
Sep 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X HUBB-5O0LM NC Primary

Addresses

Primary practice location

16455 Statesville Rd Ste 310
Huntersville, NC 28078-7102

Mailing address

1025 Morehead Medical Dr Ste 225
Charlotte, NC 28204-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206004247 NC Practitioner - Nurse Practitioner 2567811292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 801-2501

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
HUBB-5O0LMNCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Current Accepting new patients
Atrium Health Specialty Network Inc CurrentSince Apr 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Nov 1, 2023 Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1025 Morehead Medical Dr
Ste 225
Charlotte, NC 28204
Phone (704) 248-5516

101 E Wt Harris Blvd
Charlotte, NC 28262
Phone (704) 863-0640

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719

16455 Statesville Rd
Ste 310
Huntersville, NC 28078
Phone (704) 801-2501

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: dhubbard62434@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1386420610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR STE 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 STATESVILLE RD STE 310",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787102",
            "telephone_number": "704-377-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "HUBB-5O0LM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.