Active NPI
Andrea L Hubbard, LMP
- Specialist
- Kirkland, WA
National Provider Identifier
1437229408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00013440
- Practice address
- 12707 120TH Ave NE Ste 100
Kirkland, WA 98034-7500 - Phone
- (425) 820-2110
- Fax
- (425) 512-8174
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00013440 | WA | Primary |
Addresses
Primary practice location
12707 120TH Ave NE Ste 100
Kirkland, WA 98034-7500
Mailing address
PO Box 1920
Everett, WA 98206-1920
Phone (425) 820-2110
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013440 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1437229408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1920",
"city": "EVERETT",
"state": "WA",
"postal_code": "982061920",
"telephone_number": "425-820-2110",
"fax_number": "425-512-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12707 120TH AVE NE STE 100",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347500",
"telephone_number": "425-820-2110",
"fax_number": "425-512-8174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "ANDREA",
"middle_name": "L",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00013440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.