Martha Diane Hubbard, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

94451 Issued in CO

Practice address

11115 Hwy 24
Unit 2 C
Divide, CO 80814

Phone

(719) 687-6416

Fax

(719) 687-6501

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1528136348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 FOREST EDGE RD",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631238",
            "telephone_number": "719-687-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 HWY 24",
            "address_2": "UNIT 2 C",
            "city": "DIVIDE",
            "state": "CO",
            "postal_code": "80814",
            "telephone_number": "719-687-6416",
            "fax_number": "719-687-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "MARTHA",
        "middle_name": "DIANE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CO",
            "license": "94451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07944515",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Jo David, R.N.
• George V Drake, RPH
• Carol Flowers, COTA
• Kathy Marie Hall, COTA,PTA
• Richard D Haugen, NMT, LMT, CMT
• Stacey Knapp, RDH
• Ione Renee Lafata
• Christina Lesea
• Lisa Lior Lima, MSW LSW ABCDT
• Cheryl Maniak, RN

• All providers in Divide, CO
• Community Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.