Provider Demographics
NPI:1235798380
Name:HUBBARD, KATHRYN (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:CLAMPITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-AC
Mailing Address - Street 1:13960 YELLOW TIP DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9114
Mailing Address - Country:US
Mailing Address - Phone:303-718-4038
Mailing Address - Fax:
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2570
Practice Address - Country:US
Practice Address - Phone:303-718-4038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994409-NP363LP0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics