Active NPI
Matthew Hubbard, NTP
- Nutritionist
- Seward, AK
National Provider Identifier
1780484212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 2210787
- Practice address
- 232 Fifth Ave
Seward, AK 99664-4400 - Phone
- (907) 500-8415
- Fax
- (907) 500-8415
- NPI assigned
- Mar 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2210787 | AK | Primary |
Addresses
Primary practice location
232 Fifth Ave
Seward, AK 99664-4400
Mailing address
PO Box 2833
Seward, AK 99664-2833
Phone (907) 500-8415
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2210787 | AK | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1780484212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2833",
"city": "SEWARD",
"state": "AK",
"postal_code": "996642833",
"telephone_number": "907-500-8415",
"fax_number": "907-500-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 FIFTH AVE",
"city": "SEWARD",
"state": "AK",
"postal_code": "996644400",
"telephone_number": "907-500-8415",
"fax_number": "907-500-8415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MATTHEW",
"credential": "NTP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AK",
"license": "2210787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seward, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.