Active NPI
Hannah Hubbard
- Psychiatry Physician
- Little Rock, AR
National Provider Identifier
1811722978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 95017
- Practice address
- 4301 W Markham St # 550
Little Rock, AR 72205-7199 - Phone
- (501) 296-1100
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 95017 | SC | Primary |
Addresses
Primary practice location
4301 W Markham St # 550
Little Rock, AR 72205-7199
Mailing address
67 President St
Charleston, SC 29425-5712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251010001020 | SC | Order and Referring Only - Psychiatry | 0345747721 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017 | SC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1811722978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 PRESIDENT ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294255712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 550",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057199",
"telephone_number": "501-296-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "95017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.