Lisa Dianne Hatch Hubbard, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA1170 Issued in TN

Practice address

813 E Wood St
Paris, TN 38242-4223

Phone

(731) 924-2000

Fax

(731) 653-0053

NPI assigned

Jan 14, 2006

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeside Health Clinic, P.C.Group PAC ID 4082867882, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lakeside Health Clinic, P.C.

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1336492495

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Lakeside Health Clinic, P.C.

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1336492495
  Medicare reassignment Care Compare group
• Behavioral Medicine, PLLC

  • Psychiatry Physician
  • Paris, TN
  • NPI 1366620643
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1760461016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424223",
            "telephone_number": "731-924-2000",
            "fax_number": "731-653-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424223",
            "telephone_number": "731-924-2000",
            "fax_number": "731-653-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "LISA",
        "middle_name": "DIANNE HATCH",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-14",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530813",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Home Medical Products, Inc
• Home Medical Products, Inc.
• Allison Hooper, PTA
• Kenneth Lee Horner, DPH
• David Blane Houston
• Alivia Ann Hudgins, PHARMD
• James Hervey Hudson, M.D.
• Karen M Hughes, LCSW
• Human Technology, Inc.
• Hypnos Anesthesia Services, PLLC

• Medical Physician Assistant in Paris, TN
• Providers in Paris, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.