SANDRA R HUBBARD (NPI# 1457967564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457967564 |
| Entity Type | Individual |
| Full Name | SANDRA R HUBBARD |
| Practice Address |
495 Truman Hollow Rd Lizemores WA 25125 |
| Mailing Address |
Po Box 224 Lizemores WV 25125-0224 |
| Practice Telephone | 3046639343 |
| Mailing Telephone | 3046639343 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386854933 | Sandra Kay Hubbard | Hearing Instrument Specialist | 721 M St Ne Ste 104, Auburn, WA 98002-4503 | 2007-05-23 |
| 1538664883 | Sandra Hubbard | Occupational Therapist | 1900 Columbus Ave, Bay City, MI 48708-6831 | 2018-03-28 |
| 1518123777 | Sandra J Hubbard | Registered Nurse | 2011 Church St, Plaza 1, Lower Level, Nashville, TN 37203-2000 | 2008-08-06 |
| 1063682060 | Sandra F Hubbard | Nurse Practitioner | 2360 Gause Blvd E, Slidell, LA 70461-4141 | 2008-03-05 |
| 1316969850 | Sandra Hubbard | Nurse Practitioner | 3350 Main St, Springfield, MA 01199-1005 | 2006-07-24 |
| Street Address |
495 TRUMAN HOLLOW RD |
| City | LIZEMORES |
| State | WA |
| Zip Code | 25125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705938 | Thomas W Hubbard | Technician | 495 Thurman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1194191676 | Community Care of West Virginia, Inc. | Clinic/Center | 1 Lizemore Street, Lizemores, WV 25125 | 2015-08-19 |
| 1245409358 | Lizemore Volunteer Fire Department | Ambulance | 13175 Clay Highway, Lizemore, WV 25125 | 2008-02-22 |
| 1417201088 | Southern Clay County Volunteers | Ambulance | 13175 Clay Highway, Lizemore, WV 25125 | 2012-11-05 |
| 1578176152 | Kristi Lea Nicholas | Technician | 573 Ranchland Ln, Lizemores, WV 25125-8177 | 2020-08-25 |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705938 | Thomas W Hubbard | Technician | 495 Thurman Hollow Rd, Lizemores, WA 25125 | 2020-09-23 |
| 1578176152 | Kristi Lea Nicholas | Technician | 573 Ranchland Ln, Lizemores, WV 25125-8177 | 2020-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711967 | Susan Linda Hunter | Technician | 2627 E 4th Ave, Spokane, WA 99202-4024 | 2020-08-20 |
| 1053946400 | Rachel Ann Lahn | Technician | 4020 25th Ave W, Seattle, WA 98199-1551 | 2020-03-05 |
| 1356976799 | Lynn Adele Pankonin | Technician | 23201 W Charles Rd, Nine Mile Falls, WA 99026-9744 | 2020-03-05 |
| 1558995308 | Cheyenne Renae Calvert | Technician | 13918 Ne 91st St, Vancouver, WA 98682-2972 | 2020-03-01 |
| 1154962215 | Sally Davidson | Technician | 1705 Nw 3rd St, Battle Ground, WA 98604-4352 | 2019-09-30 |
| 1255988689 | Bonnie Anne Mager | Technician | 15220 W Dairyview Ln, Cheney, WA 99004-8839 | 2019-08-21 |
| 1114413838 | Zachary C Dorsett | Technician | 15404 Se 4th St, Bellevue, WA 98007-5316 | 2018-07-05 |
| 1861878076 | Warren Black | Technician | 9887 Adams St, Joint Base Lewis-mccord, WA 98433 | 2015-08-11 |
| 1245561943 | Gloryann Bonebrake | Technician | 6704 Ne 199th St, Vancouver, WA 98686-1752 | 2010-01-19 |
| 1417413667 | Kenzzi Marie Callan | Technician | 4100 194th St Sw Ste 100, Lynnwood, WA 98036-4613 | 2019-02-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.