Individual provider Active NPI

Elizabeth H Hubbard, FNP

  • Family Nurse Practitioner
  • Onley, VA
National Provider Identifier
1972507721
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024165769 Issued in VA
Practice address
20306 Badger Lane
Onley, VA 23418
Phone
(757) 787-7341
Fax
(757) 787-4513
NPI assigned
Jun 9, 2005
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 0024165769 VA Primary

Addresses

Primary practice location

20306 Badger Lane
Onley, VA 23418

Mailing address

20280 Market St
Onancock, VA 23417-1331
Phone (757) 414-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040123000037 VA Practitioner - Nurse Practitioner 6901708601 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Behavioral Healthcare CurrentSince Sep 27, 2017 Accepting new patients
Tri-Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri-Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients
John C. McElroy, Optometrist PastSince May 31, 2020 Accepting new patients
Tri Area Community Health PastSince Jan 1, 1990 Accepting new patients

Locations

301 Elm Ave SW
Roanoke, VA 24016
Phone (540) 266-9200

611 McDowell Ave NW
Roanoke, VA 24016
Phone (540) 266-9200

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1972507721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-414-0400",
            "fax_number": "757-414-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 BADGER LANE",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "23418",
            "telephone_number": "757-787-7341",
            "fax_number": "757-787-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024165769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onley, VA

Sources for this page

Verify at the official NPI Registry.