Active NPI
Kathryn R. Hubbard, M.D.
- Specialist
- Boerne, TX
National Provider Identifier
1689671471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J5352
- Practice address
- 113 Falls CT
Suite 100
Boerne, TX 78006-2956 - Phone
- (830) 248-1222
- Fax
- (830) 248-1333
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | J5352 | TX | Primary |
Addresses
Primary practice location
113 Falls CT
Suite 100
Boerne, TX 78006-2956
Mailing address
31101 Axis Run
Fair Oaks Ranch, TX 78015-4266
Phone (830) 755-8578
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5352 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689671471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31101 AXIS RUN",
"city": "FAIR OAKS RANCH",
"state": "TX",
"postal_code": "780154266",
"telephone_number": "830-755-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 FALLS CT",
"address_2": "SUITE 100",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062956",
"telephone_number": "830-248-1222",
"fax_number": "830-248-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "KATHRYN",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J5352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
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.