Active NPI
Leslie Hubbard, RN
- Home Health Registered Nurse
- Lynnwood, WA
National Provider Identifier
1487301552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN60198507
- Practice address
- 19401 40TH Ave W Ste 312
Lynnwood, WA 98036-5600 - Phone
- (425) 321-5742
- NPI assigned
- Mar 8, 2022
- Last updated
- Mar 8, 2022
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN60198507 | WA | Primary |
Addresses
Primary practice location
19401 40TH Ave W Ste 312
Lynnwood, WA 98036-5600
Mailing address
15216 140TH LN SE
Yelm, WA 98597-9155
Phone (253) 970-1828
Other practice location 1
15216 140th Ln SE
Yelm, WA 98597-9155
Phone (253) 970-1828
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60198507 | WA | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mga Home Healthcare Washington LLC | Current | Accepting new patients |
Locations
19401 40th Ave W
Ste 312
Lynnwood, WA 98036
Phone (425) 321-5742
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1487301552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15216 140TH LN SE",
"city": "YELM",
"state": "WA",
"postal_code": "985979155",
"telephone_number": "253-970-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVE W STE 312",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365600",
"telephone_number": "425-321-5742"
}
],
"practiceLocations": [
{
"address_1": "15216 140th Ln SE",
"address_purpose": "LOCATION",
"city": "Yelm",
"state": "WA",
"postal_code": "985979155",
"country_code": "US",
"telephone_number": "253-970-1828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "RN60198507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.