Individual provider Active NPI

Kathy Hubbard, APRN

  • Family Nurse Practitioner
  • Hazard, KY
National Provider Identifier
1649725573
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010664 Issued in KY
Practice address
320 Morton Blvd
Hazard, KY 41701-9418
Phone
(513) 834-7063
NPI assigned
Aug 21, 2016
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 304380 AZ
Family Nurse Practitioner 363LF0000X 3010664 KY Primary

Addresses

Primary practice location

320 Morton Blvd
Hazard, KY 41701-9418

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

2600 E Southern Ave Ste 1
Tempe, AZ 85282-7610
Phone (833) 510-4357

Other practice location 2

4135 Dixie Hwy
Elsmere, KY 41018-1815
Phone (833) 510-4357

Other names 1

  • Kathy J Stumbo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210730001655 KY Practitioner - Nurse Practitioner 7012310865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

500 N Green St
Henderson, KY 42420-2948
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Oct 4, 2021 Accepting new patients
Brightview LLC CurrentSince Oct 4, 2021 Accepting new patients
Renew Out-Patient & Residential Treatment Services LLC Past Accepting new patients

Locations

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

1610 Madison Ave
Covington, KY 41011

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

2645 N Laurel Rd
#A
London, KY 40741

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

506 N Main St
Ste A
Nicholasville, KY 40356
Phone (606) 887-3140

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

Organizations & group practices 3

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": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1649725573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019418",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 E Southern Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827610",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Elsmere",
            "state": "KY",
            "postal_code": "410181815",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KATHY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "304380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "STUMBO",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.