Active NPI
Elizabeth A Hubbard, ATC
- Athletic Trainer
- Detroit, MI
National Provider Identifier
1649353459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 690 Amsterdam St
Detroit, MI 48202-3410 - Phone
- (313) 651-1910
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
690 Amsterdam St
Detroit, MI 48202-3410
Mailing address
1656 Bennington CT
Canton, MI 48188-1775
Phone (734) 398-5569
Other practice location 1
36600 Schoolcraft Rd
Livonia, MI 48150-1173
Phone (734) 432-5605
Other names 1
- Elizabeth A Couvreur
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehubbard437252@direct.hfhs.org |
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
Interoperability endpoints
- ehubbard437252@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1649353459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 BENNINGTON CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481881775",
"telephone_number": "734-398-5569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 AMSTERDAM ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023410",
"telephone_number": "313-651-1910"
}
],
"practiceLocations": [
{
"address_1": "36600 Schoolcraft Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481501173",
"country_code": "US",
"telephone_number": "734-432-5605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBBARD",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ehubbard437252@direct.hfhs.org",
"affiliation": "N",
"address_1": "690 Amsterdam St",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482023410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "COUVREUR",
"middle_name": "A",
"credential": "ATC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.