Individual provider Active NPI

Doris J. Hubbard, F.N.P.

  • Family Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1740359561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1676165 Issued in MI
Practice address
2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185
Phone
(269) 979-6333
Fax
(269) 979-6335
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1676165 MI Primary

Addresses

Primary practice location

2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185

Mailing address

2845 Capital Ave SW
Suite 302
Battle Creek, MI 49015-4185
Phone (269) 979-6333

Other identifiers 3

IdentifierTypeStateIssuer
1750472734OtherMIGROUP NPI NUMBER
CW405106OtherMISUPERVISOR WILMANSKI
1676165OtherMILICENSE

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1676165MIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740359561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-979-6333",
            "fax_number": "269-979-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CAPITAL AVE SW",
            "address_2": "SUITE 302",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154185",
            "telephone_number": "269-979-6333",
            "fax_number": "269-979-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DORIS",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "1676165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1750472734",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISOR WILMANSKI",
            "identifier": "CW405106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1676165",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

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.

Verify at the official NPI Registry.