Active NPI
Matthew Briggs Hubbard, L.M.P.
- Specialist
- Bellevue, WA
National Provider Identifier
1609930759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA7054
- Practice address
- 15935 NE 8TH St
Suite a-101
Bellevue, WA 98008-3918 - Phone
- (425) 644-5556
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- 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 | MA7054 | WA | Primary |
Addresses
Primary practice location
15935 NE 8TH St
Suite a-101
Bellevue, WA 98008-3918
Mailing address
1555 Anacortes Ave NE
B-208
Renton, WA 98059-3911
Phone (425) 444-2604
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 |
|---|---|---|---|
| MA7054 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609930759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 ANACORTES AVE NE",
"address_2": "B-208",
"city": "RENTON",
"state": "WA",
"postal_code": "980593911",
"telephone_number": "425-444-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15935 NE 8TH ST",
"address_2": "SUITE A-101",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980083918",
"telephone_number": "425-644-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MATTHEW",
"middle_name": "BRIGGS",
"name_prefix": "Mr.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA7054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.