Individual provider Active NPI

Gay Ann Tibbets, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1003097155
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
518287 Issued in TX
Practice address
1902 50TH St
Lubbock, TX 79412-2706
Phone
(806) 771-1386
Fax
(806) 771-1388
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 518287 TX Primary

Addresses

Primary practice location

1902 50TH St
Lubbock, TX 79412-2706

Mailing address

PO Box 54136
Lubbock, TX 79453-4136
Phone (806) 771-1386

Other identifiers 1

IdentifierTypeStateIssuer
518287OtherTXRN LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080206000257 TX Practitioner - Nurse Practitioner 6901989565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LFM AssociatesGroup PAC ID 4082020086, 12 clinicians

Practice addresses (Care Compare)

7008 Indiana Ave
Suite a
Lubbock, TX 79413-6138
Phone (806) 698-8088

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enrique Rodriguez, M.D., P.a. CurrentSince Jul 19, 2014 Accepting new patients

Locations

8212 Ithaca Ave
Ste E1
Lubbock, TX 79423
Phone (806) 687-6336

1902 50th St
Lubbock, TX 79412
Phone (806) 368-6757

Interoperability endpoints

  • Direct secure messaging: gay.tibbets@direct.myteamcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCBAA/Endpoint/BJCBAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1003097155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54136",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794534136",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794122706",
            "telephone_number": "806-771-1386",
            "fax_number": "806-771-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBETS",
        "first_name": "GAY",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "518287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE #",
            "identifier": "518287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.