Individual provider Active NPI

Jessica Hughes, FNP-C

  • Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1730797978
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013292 Issued in NC
Practice address
2347 Simonton Rd
Statesville, NC 28625-8246
Phone
(704) 873-4719
NPI assigned
Jul 14, 2020
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013292 NC Primary
Family Nurse Practitioner 363LF0000X 5013292 NC

Addresses

Primary practice location

2347 Simonton Rd
Statesville, NC 28625-8246

Mailing address

2347 Simonton Rd
Statesville, NC 28625-8246
Phone (704) 873-4719

Other practice location 1

10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone (704) 547-9739

Other practice location 2

15720 Brixham Hill Ave
Charlotte, NC 28277-4651
Phone (704) 541-5555

Other names 1

  • Jessica Ruby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200917002507 NC Practitioner - Nurse Practitioner 6406274745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Select Health Pain and Regenerative Medicine PC Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Hospice of Iredell County, Inc CurrentSince Feb 21, 2022 Accepting new patients
Carolina Disc Associates, P.C. CurrentSince Jul 1, 2020 Accepting new patients

Locations

15720 Brixham Hill Ave
Charlotte, NC 28277
Phone (704) 541-5555

15720 Brixham Hill Ave
Ste 130
Charlotte, NC 28277
Phone (704) 541-5555

2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719

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": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1730797978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 SIMONTON RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258246",
            "telephone_number": "704-873-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 SIMONTON RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258246",
            "telephone_number": "704-873-4719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10515 Mallard Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282629785",
            "country_code": "US",
            "telephone_number": "704-547-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Brixham Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774651",
            "country_code": "US",
            "telephone_number": "704-541-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013292",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RUBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.