TYREESHA HUBBARD DNP, CPNP
NPI 1750054805
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since July 26, 2021
173 BOULEVARD NE, ATLANTA, GA 30312(404) 658-1500 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2022, Jul 26, 2021 (2 updates tracked since 2021).

About Tyreesha Hubbard Dnp, Cpnp NPPES

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

TYREESHA HUBBARD DNP, CPNP (NPI 1750054805) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN251907) and active in the NPI registry since July 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750054805
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTYREESHA HUBBARDCredential: DNP, CPNP
Location Address173 BOULEVARD NEAtlanta, GA 30312-1468
Mailing Address316 Vermillion StAcworth, GA 30102-1406 · (678) 697-6400
Sole ProprietorNo
Enumeration DateJuly 26, 2021
Last NPPES UpdateJanuary 16, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2022
NPI 1750054805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in GA · RN251907
173 BOULEVARD NE, Atlanta, GA 30312

Secondary Practice Locations 2

Location 11438 McLendon DrDecatur, GA 30033-1802 · Phone (770) 414-0337
Location 2975 Johnson Fy Rd NEAtlanta, GA 30342-1619 · Phone (404) 785-3820

Other Providers at the Same Location NPPES 11

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

Clinic/Center
173 BOULEVARD NE
ATLANTA, GA 30312
Nurse Practitioner (Pediatrics)
173 BOULEVARD NE
ATLANTA, GA 30312
Nurse Practitioner (Pediatrics)
173 BOULEVARD NE
ATLANTA, GA 30312
Nurse Practitioner (Pediatrics)
173 BOULEVARD NE
ATLANTA, GA 30312
Clinic/Center
173 BOULEVARD NE
ATLANTA, GA 30312
Nurse Practitioner
173 BOULEVARD NE
ATLANTA, GA 30312
Public Health or Welfare
173 BOULEVARD NE
ATLANTA, GA 30312
Nurse Practitioner (Family)
173 BOULEVARD NE
ATLANTA, GA 30312

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 Tyreesha Hubbard's NPI number?

The NPI number for Tyreesha Hubbard is 1750054805. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Tyreesha Hubbard located?

Tyreesha Hubbard practices at 173 Boulevard NE, Atlanta, GA 30312. The listed phone number is (404) 658-1500.

What is Tyreesha Hubbard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tyreesha Hubbard was last updated on January 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.