Individual provider Active NPI

Sondrea Leigh Hubbard

  • Family Nurse Practitioner
  • Parma, OH
National Provider Identifier
1841946563
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028454 Issued in OH
Practice address
7715 W. Ridgedrive
Parma, OH 44129
Phone
(440) 809-8132
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028454 OH Primary

Addresses

Primary practice location

7715 W. Ridgedrive
Parma, OH 44129

Mailing address

3682 Lytle Rd
Shaker Heights, OH 44122-5170
Phone (216) 921-6766

Other practice location 1

203000 Chagrin Boulevard
Shaker Heights, OH 44122
Phone (216) 285-9667

Other practice location 2

12813 Rockside Rd
Garfield Hts, OH 44125-5157
Phone (216) 810-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20220321001260 OH Practitioner - Nurse Practitioner 1658766175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0028454OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Med LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

300 Tice Blvd
Ste 175
Woodcliff Lake, NJ 07677

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1841946563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3682 LYTLE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225170",
            "telephone_number": "216-921-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 W. RIDGEDRIVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "440-809-8132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203000 Chagrin Boulevard",
            "address_purpose": "LOCATION",
            "city": "Shaker Heights",
            "state": "OH",
            "postal_code": "44122",
            "country_code": "US",
            "telephone_number": "216-285-9667",
            "fax_number": "216-938-5431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12813 Rockside Rd",
            "address_purpose": "LOCATION",
            "city": "Garfield Hts",
            "state": "OH",
            "postal_code": "441255157",
            "country_code": "US",
            "telephone_number": "216-810-6100",
            "fax_number": "216-438-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SONDREA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.