Individual provider Active NPI

Sandra Kay Hubbard, BC-HIS

  • Hearing Instrument Specialist
  • Vancouver, WA
National Provider Identifier
1386854933
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA00000744 Issued in WA
Practice address
11805 NE 99TH St Ste 1350
Vancouver, WA 98682-2321
Phone
(206) 853-2022
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA00000744 WA Primary

Addresses

Primary practice location

11805 NE 99TH St Ste 1350
Vancouver, WA 98682-2321

Mailing address

11805 NE 99TH St Ste 1350
Vancouver, WA 98682-2321
Phone (206) 853-2022

Other practice location 1

2642 7th St SE
East Wenatchee, WA 98802-5902
Phone (206) 853-2022

Other identifiers 1

IdentifierTypeStateIssuer
0205736OtherWAWASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA00000744WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1386854933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 NE 99TH ST STE 1350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822321",
            "telephone_number": "206-853-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 NE 99TH ST STE 1350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822321",
            "telephone_number": "206-853-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2642 7th St SE",
            "address_purpose": "LOCATION",
            "city": "East Wenatchee",
            "state": "WA",
            "postal_code": "988025902",
            "country_code": "US",
            "telephone_number": "206-853-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA00000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF LABOR & INDUSTRIES",
            "identifier": "0205736",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.