Lynn Hubbard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9115703 Issued in FL

Practice address

314 Lagrande Blvd Ste a
Lady Lake, FL 32159-2393

Phone

(352) 430-0064

Fax

(352) 430-0497

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bestpractices of North Carolina PC

  • Emergency Medicine Physician
  • Smithfield, NC
  • NPI 1770560591
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Goldsboro Emergency Medical Specialists, Inc.

  • Emergency Medicine Physician
  • Goldsboro, NC
  • NPI 1164418232
  NPD (past)
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2022.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1760419980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 LAGRANDE BLVD STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321592393",
            "telephone_number": "352-430-0064",
            "fax_number": "352-430-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 LAGRANDE BLVD STE A",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321592393",
            "telephone_number": "352-430-0064",
            "fax_number": "352-430-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115703",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058142",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "PA9115703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammed Amzad Hossain, M.D.
• Hannah Grace Houghtaling, DDS
• Tonya Marie Houghton, ND
• Robert Kent Howell, DMD
• Chris A Hoyland, DPM
• Michael Andrew Humphrey, PA
• Maen A Hussein, M.D.
• Michelle Huynh, PHARMD
• Jeff Hyde
• Mohamed Ghoniem Ibrahim, PT

• All providers in Lady Lake, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.