Individual provider Active NPI

Kathren Leigh Webb, APRN-CNP

  • Family Nurse Practitioner
  • Mangum, OK
National Provider Identifier
1346033842
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223200 Issued in OK
Practice address
114 S Louis Tittle Ave
Mangum, OK 73554-4406
Phone
(580) 782-3393
Fax
(580) 782-3395
NPI assigned
May 27, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 223200 OK
Family Nurse Practitioner 363LF0000X 223200 OK Primary

Addresses

Primary practice location

114 S Louis Tittle Ave
Mangum, OK 73554-4406

Mailing address

1200 E Pecan St
Altus, OK 73521-6192
Phone (580) 379-5000

Other identifiers 1

IdentifierTypeStateIssuer
201369870AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KathrenWebb@direct.jcmh.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250729001529 OK Practitioner - Nurse Practitioner 6406363092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 E Pecan St
Altus, OK 73521-6141

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince May 2, 2025 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince May 2, 2025 Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients

Locations

1200 E Pecan St
Altus, OK 73521
Phone (580) 379-5000

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

114 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 782-3393

Interoperability endpoints

  • Direct secure messaging: kathrenwebb@direct.jcmh.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1346033842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PECAN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735216192",
            "telephone_number": "580-379-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S LOUIS TITTLE AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735544406",
            "telephone_number": "580-782-3393",
            "fax_number": "580-782-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KATHREN",
        "middle_name": "LEIGH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "223200",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "223200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201369870A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KathrenWebb@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "114 S Louis Tittle Ave",
            "city": "Mangum",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735544406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mangum, OK

Sources for this page

Verify at the official NPI Registry.