Active NPI
Stephanie O. Hubbard, CFNP
- Family Nurse Practitioner
- Houston, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902296
- 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, 2024
- Sex
- Female
- 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 | 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
Enrollment records 1
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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 902296 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Regional Medical Center | Current | Accepting new patients | |
| Och Medical Associates | Current | Accepting new patients | |
| Och Pulmonology | Current | Accepting new patients | |
| Progressive Health of Houston, LLC | Current | 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
- https://fhir-myrecord.cerner.com/r4/f7116466-8e41-49c8-9954-f17bc6610b23/
- 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.
-
dba Progressive Health Group of Houston
- Rural Acute Care Hospital
- Houston, MS
- NPI 1639936396
-
dba Choctaw Medical Clinic of Ackerman
- Family Medicine Physician
- Ackerman, MS
- NPI 1235547878
-
- Medical Specialty Clinic/Center
- Starkville, MS
- NPI 1548575087
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mississippi HomeCare of Eupora
- Home Health Agency
- Eupora, MS
- NPI 1659483196
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
dba Progressive Health Group of Houston
- Rural Acute Care Hospital
- Houston, MS
- NPI 1639936396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.