Derion Hubbard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

815 N Waco Ave Ste 35
Wichita, KS 67203-3928

Phone

(316) 290-9046

NPI assigned

Jun 20, 2024

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Tree of Life Care LLC

  • Mental Health Counselor
  • Wichita, KS
  • NPI 1407626039
  NPD

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1710721246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S OLIVER ST APT 509",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101230",
            "telephone_number": "316-347-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N WACO AVE STE 35",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033928",
            "telephone_number": "316-290-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DERION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HP-Wichita Hill Inc (College Hill Nursing and Rehab Center)
• Sarah Elizabeth Hrenchir
• Alan R Hromas, MD
• Nelson Huang, MD
• Hubbard Chiropractic and Balance Center LLC
• Jeffrey Hubbell, LSCSW
• Christopher Hubener, MD
• Craig Huber, DDS
• Zachary Caleb Huber, RN
• Travis D Hubin, DO

• Behavior Analyst in Wichita, KS
• Providers in Wichita, KS by specialty
• Behavior Analyst in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.