Individual provider Active NPI

Patricia Garsell Hubbard

  • Gerontology Registered Nurse
  • Indianapolis, IN
National Provider Identifier
1831809516
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
28168516A Issued in IN
Practice address
2640 Cold Spring Rd
Indianapolis, IN 46222-2272
Phone
(317) 923-1518
Fax
(317) 923-0352
NPI assigned
Dec 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 28168516A IN Primary

Addresses

Primary practice location

2640 Cold Spring Rd
Indianapolis, IN 46222-2272

Mailing address

2640 Cold Spring Rd
Indianapolis, IN 46222-2272
Phone (317) 923-1518

Other identifiers 1

IdentifierTypeStateIssuer
28168516AOtherINREGISTERED NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL infinityhealthcare Direct

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

LicenseStateTypeSpecialty
28168516AINMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1831809516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222272",
            "telephone_number": "317-923-1518",
            "fax_number": "317-923-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462222272",
            "telephone_number": "317-923-1518",
            "fax_number": "317-923-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "PATRICIA",
        "middle_name": "GARSELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IN",
            "license": "28168516A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "28168516A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "infinityhealthcare",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2640 cold springs rd",
            "address_2": "Alpha Home",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.