Active NPI
Doris J. Hubbard, F.N.P.
- Family Nurse Practitioner
- Battle Creek, MI
National Provider Identifier
1740359561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1676165
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750472734 | Other | MI | GROUP NPI NUMBER |
| CW405106 | Other | MI | SUPERVISOR WILMANSKI |
| 1676165 | Other | MI | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1676165 | MI | MD | Family 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.