KEVIN HUBBARD (NPI# 1376050526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376050526 |
| Entity Type | Individual |
| Full Name | KEVIN HUBBARD |
| Practice Address |
9409 Willow Dr Bastrop LA 71220 |
| Mailing Address |
9409 Willow Dr Bastrop LA 71220-4814 |
| Practice Telephone | 3182383862 |
| Practice Fax Number | 3182393867 |
| Mailing Telephone | 3182383862 |
| Mailing Fax Number | 3182393867 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023505146 | Kevin Justin Hubbard | Counselor | 3900 Ford Rd Ste E, Philadelphia, PA 19131-2001 | 2018-04-13 |
| 1407890601 | Kevin W. Hubbard | Emergency Medicine | 11434 E Mission Ln, Scottsdale, AZ 85259-5821 | 2006-06-16 |
| 1568455988 | Kevin P Hubbard | Internal Medicine | 1750 Independence Ave, Kansas City, MO 64106-1453 | 2005-08-31 |
| 1669711362 | Kevin Duane Hubbard | Pharmacist | 11847 Kingston Pike, Farragut, TN 37934-3833 | 2013-01-31 |
| Street Address |
9409 WILLOW DR |
| City | BASTROP |
| State | LA |
| Zip Code | 71220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| 1528411923 | Deborah Ray | Counselor | 1707 Arcadia Dr, Bastrop, LA 71220 | 2016-07-20 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177022 | Rachel Kirgis | Case Manager/Care Coordinator | 715 Boatner St, Bastrop, LA 71220-5001 | 2020-03-02 |
| 1952773574 | Kimberly Newman | Case Manager/Care Coordinator | 5757 Naff Ave, Bastrop, LA 71220 | 2015-10-22 |
| 1427696558 | Katina Renea Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-19 |
| 1063075273 | Shelia Edwards | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-04-15 |
| 1912465618 | Destinee Keys | Case Manager/Care Coordinator | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2019-03-12 |
| 1629533542 | Tikela Nawana Mansfield | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-02-05 |
| 1871063859 | Tatyana Barnes-davis | Case Manager/Care Coordinator | 644 E Jefferson Ave, Bastrop, LA 71220-4619 | 2018-12-03 |
| 1609346840 | Tyanna Jones | Case Manager/Care Coordinator | 410 S Franklin St, Bastrop, LA 71220-4533 | 2018-11-30 |
| 1255801601 | Autchalo Nicole Jones | Case Manager/Care Coordinator | 410 S Franklin St, Bastrop, LA 71220-4533 | 2018-11-28 |
| 1154897007 | Shelia Brown Washington | Case Manager/Care Coordinator | 209 W Jefferson Ave, Bastrop, LA 71220-4543 | 2018-10-18 |
| Find all providers in BASTROP | ||||
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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.