Individual provider Active NPI

James David Hubbard, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1679404966
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
779070 Issued in TX
Practice address
703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone
(903) 606-7525
Fax
(903) 606-7284
NPI assigned
May 26, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 779070 TX Primary

Addresses

Primary practice location

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015

Mailing address

613 Top Hill Dr
Tyler, TX 75703-3575
Phone (903) 571-4468

Other practice location 1

3201 S Loop 256
Palestine, TX 75801-6906
Phone (903) 723-0330

Other practice location 2

613 Top Hill Dr
Tyler, TX 75703-3575
Phone (903) 571-4468

Other practice location 3

1783 Troup Hwy
Tyler, TX 75701-5869
Phone (903) 595-2283

Other practice location 4

1505 S Palestine St
Athens, TX 75751-8950
Phone (903) 675-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
779070TXMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1679404966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 TOP HILL DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033575",
            "telephone_number": "903-571-4468",
            "fax_number": "903-571-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S FLEISHEL AVE STE 5000",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012015",
            "telephone_number": "903-606-7525",
            "fax_number": "903-606-7284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016906",
            "country_code": "US",
            "telephone_number": "903-723-0330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Top Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757033575",
            "country_code": "US",
            "telephone_number": "903-571-4468",
            "fax_number": "903-571-4468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1783 Troup Hwy",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757015869",
            "country_code": "US",
            "telephone_number": "903-595-2283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 S Palestine St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TX",
            "postal_code": "757518950",
            "country_code": "US",
            "telephone_number": "903-675-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "779070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.