Active NPI
Michele M Hubbard, RN, CNP
- Nurse Practitioner
- Medina, OH
National Provider Identifier
1912198425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 09275
- Practice address
- Medina OB/GYN Associates
970 E Washington St Ste 6B
Medina, OH 44256-9680 - Phone
- (330) 723-6060
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 09275 | OH | Primary |
Addresses
Primary practice location
Medina OB/GYN Associates
970 E Washington St Ste 6B
Medina, OH 44256-9680
Mailing address
Medina OB/GYN Associates
970 E Washington St Ste 6B
Medina, OH 44256-9680
Phone (330) 723-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2127362 | Medicaid | OH |
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
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09275 | OH | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1912198425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDINA OB/GYN ASSOCIATES",
"address_2": "970 E WASHINGTON ST STE 6B",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569680",
"telephone_number": "330-723-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDINA OB/GYN ASSOCIATES",
"address_2": "970 E WASHINGTON ST STE 6B",
"city": "MEDINA",
"state": "OH",
"postal_code": "442569680",
"telephone_number": "330-723-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "MICHELE",
"middle_name": "M",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "09275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2127362",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.