Individual provider Active NPI

Leslie Hubbard, RN

  • Home Health Registered Nurse
  • Lynnwood, WA
National Provider Identifier
1487301552
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN60198507 Issued in WA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN60198507WAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mga Home Healthcare Washington LLC CurrentSince Apr 24, 2022 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.

Verify at the official NPI Registry.