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417 HOUSECALLS
NPI 1164016036
Physician Assistant in Springfield, MO

Active since February 22, 2021CLIA 26D2214117 · Waiver
1335 E REPUBLIC RD STE D, SPRINGFIELD, MO 65804(417) 363-3900(417) 313-9998 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 16, 2023, Mar 10, 2021, Feb 22, 2021 (3 updates tracked since 2021).

About 417 Housecalls NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

417 HOUSECALLS (NPI 1164016036) is a healthcare organization registered as a physician assistant in Springfield, Missouri and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Timothy Andrew Hubbard, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1164016036
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business Name417 HOUSECALLS
Location Address1335 E REPUBLIC RD STE DSpringfield, MO 65804-7220
Mailing Address1335 E Republic Rd Ste DSpringfield, MO 65804-7220 · (417) 363-3900 · Fax (417) 313-9998
Phone(417) 363-3900
Fax(417) 313-9998
Organization SubpartNo
Authorized OfficialTimothy Andrew HubbardPhysician Assistant · (417) 363-3900
Enumeration DateFebruary 22, 2021
Last NPPES UpdateJanuary 16, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1164016036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1335 E REPUBLIC RD STE D, Springfield, MO 65804
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2214117

417 Housecalls LLC · Springfield, MO
Active · expires Feb 18, 2027
CLIA Number26D2214117
Laboratory TypeMobile House Calls
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorTimothy A. Hubbard
Laboratory Phone(417) 363-3900
Laboratory Location417 Housecalls LLC1335 E Rupublic Rd Ste D, Springfield, MO 65804
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY MAE BLACK PNP
Nurse Practitioner (Pediatrics)
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 363-3900
KARI COLLIER MSN, APRN, FNP-C
Family Medicine
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 363-3900
THERAMOTION LLC
Behavior Analyst
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 200-2322
TIMOTHY HUBBARD PA-C
Physician Assistant (Medical)
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 363-3900
ISABELLA ROSE JUNG RD, LD
Dietitian, Registered
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO 65804
Greene County (417) 363-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 417 Housecalls's NPI number?

The NPI number for 417 Housecalls is 1164016036. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is 417 Housecalls located?

417 Housecalls is located at 1335 E Republic Rd Ste D, Springfield, MO 65804. The listed phone number is (417) 363-3900.

What is 417 Housecalls's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does 417 Housecalls hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2214117) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 417 Housecalls was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.