Individual provider Active NPI

Stephanie O. Hubbard, CFNP

  • Family Nurse Practitioner
  • Houston, MS
National Provider Identifier
1871003988
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902296 Issued in MS
Practice address
1002 E Madison Street
Houston, MS 38851
Phone
(662) 456-2037
Fax
(662) 456-1006
NPI assigned
Oct 3, 2017
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 902296 MS Primary

Addresses

Primary practice location

1002 E Madison Street
Houston, MS 38851

Mailing address

1002 E Madison Street
P.O. Box 432
Houston, MS 38851
Phone (662) 456-2037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180205001320 MS Practitioner - Nurse Practitioner 8325308778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Health Corp of Houston, Inc.Group PAC ID 0042102352, 10 clinicians

Practice addresses (Care Compare)

1002 E Madison St
Houston, MS 38851-2428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902296MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choctaw Regional Medical Center Current Accepting new patients
Och Medical Associates CurrentSince Dec 30, 2017 Accepting new patients
Och Pulmonology Current Accepting new patients
Progressive Health of Houston, LLC CurrentSince Jul 13, 2024 Accepting new patients

Locations

8613 MS Highway 12
Ackerman, MS 39735
Phone (662) 285-4400

1002 E Madison St
Houston, MS 38851
Phone (601) 456-3701

518 West Dr
Okolona, MS 38860
Phone (662) 447-1339

107 Brandon Rd
Starkville, MS 39759
Phone (662) 324-1291

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f7116466-8e41-49c8-9954-f17bc6610b23/
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/829eb3e2-1c27-407b-88f0-bbe9462e3c9c

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1871003988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E MADISON STREET",
            "address_2": "P.O. BOX 432",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-2037",
            "fax_number": "662-456-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E MADISON STREET",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-2037",
            "fax_number": "662-456-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "STEPHANIE",
        "middle_name": "O.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, MS

Sources for this page

Verify at the official NPI Registry.