Active NPI
Donald L. Hubbard, APN
- Family Nurse Practitioner
- Monahans, TX
National Provider Identifier
1861630303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 567908
- Practice address
- 400 S Ike Ave
Monahans, TX 79756-4703 - Phone
- (432) 943-2068
- Fax
- (432) 943-6833
- NPI assigned
- Jan 21, 2009
- Last updated
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 567908 | TX | Primary |
Addresses
Primary practice location
400 S Ike Ave
Monahans, TX 79756-4703
Mailing address
PO Box 40
Monahans, TX 79756-0040
Phone (432) 943-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567908 | Other | TX | STATE LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1861630303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "MONAHANS",
"state": "TX",
"postal_code": "797560040",
"telephone_number": "432-943-2511",
"fax_number": "432-943-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S IKE AVE",
"city": "MONAHANS",
"state": "TX",
"postal_code": "797564703",
"telephone_number": "432-943-2068",
"fax_number": "432-943-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "DONALD",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "567908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "567908",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monahans, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.