Demetria Renae Hubbard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

179251 Issued in OH

Practice address

5877 Portage St NW # NA
North Canton, OH 44720-6770

Phone

(330) 936-5577

NPI assigned

Jan 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• All in One Mobile Lab LLC

  • Clinical Medical Laboratory
  • North Canton, OH
  • NPI 1427701812
  NPD Authorized official
• Harmony House Youth Services LLC

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1821843848
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1396498788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4786 DRESSLER RD NW STE 173",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182555",
            "telephone_number": "440-661-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 PORTAGE ST NW # NA",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206770",
            "telephone_number": "330-936-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DEMETRIA",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "179251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Howenstein
• Lydia L Howenstine, RN
• Josephine F Hoying, PTA
• Monica Hrin
• Bethany L Hrovat, PT
• Deanna M Huber, COTA/L
• Rachel Hudson
• Richard William Huetter, DMD
• Jennifer L Huff, COTA/L
• Sheri Hufnagel

• Licensed Practical Nurse in North Canton, OH
• Providers in North Canton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.