Active NPI
Tabitha Marie Lane, PA
- Physician Assistant
- Canon City, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0003062
- Practice address
- 715 S 9TH St
Canon City, CO 81212-4911 - Phone
- (719) 269-8820
- NPI assigned
- Sep 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0003062 | CO | |
| Physician Assistant | 363A00000X | 9120043 | FL | |
| Physician Assistant | 363A00000X | PA.0003062 | CO | Primary |
Addresses
Primary practice location
715 S 9TH St
Canon City, CO 81212-4911
Mailing address
402 Star Ranch Rd
Canon City, CO 81212-9831
Phone (501) 987-2932
Other practice location 1
1090 Arnold Dr
Little Rock AFB, AR 72099-4933
Phone (501) 987-2932
Other practice location 2
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 776-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 S 9TH St
Canon City, CO 81212-4911
Phone (269) 753-4125
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.74 of 100
- Quality
- 77.46
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 75.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.22 of 100
- Quality
- 57.29
- Improvement activities
- 40
- Cost
- 72.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9120043 | FL | MD | Physician Assistant |
| PA.0003062 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onpoint Medical Group, LLC | Current | Accepting new patients | |
| Button Family Practice PC | Current | Accepting new patients | |
| Onpoint Medical Group, LLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Pahs Onpoint Urgent Care LLC | Current | Accepting new patients | |
| Pahs Onpoint Urgent Care LLC | Current | Accepting new patients | |
| Onpoint Medical Group, LLC | Past | Accepting new patients | |
| Western Nephrology & Metabolic Bone Disease, P.C. | Past | Accepting new patients | |
| Onpoint Medical Group, LLC | Past | Accepting new patients |
Locations
24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410
715 S 9th St
Canon City, CO 81212
Phone (269) 753-4125
7280 Lagae Rd
Ste J
Castle Pines, CO 80108
Phone (303) 814-0505
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
850 E Harvard Ave
Ste 405
Denver, CO 80210
Phone (303) 584-8900
8200 E Belleview Ave
Ste 202C
Greenwood Village, CO 80111
Phone (303) 357-2551
9135 Ridgeline Blvd
Ste 190
Highlands Ranch, CO 80129
Phone (303) 649-3140
1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559
7335 S Pierce St
Ste 100
Littleton, CO 80128
Phone (303) 979-7200
7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919
10103 Ridgegate Pkwy
Ste G23
Lone Tree, CO 80124
Phone (303) 225-0025
9218 Kimmer Dr
Ste 207
Lone Tree, CO 80124
Phone (720) 493-9006
19641 E Parker Square Dr
Ste E
Parker, CO 80134
Phone (303) 805-2222
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHACA
Organizations & group practices 11
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.
-
- Rural Health Clinic/Center
- Canon City, CO
- NPI 1144269739
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lakewood, CO
- NPI 1568334001
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Family Medicine Physician
- Littleton, CO
- NPI 1194406025
-
- Pediatrics Physician
- Littleton, CO
- NPI 1255957528
-
- Urgent Care Clinic/Center
- Englewood, CO
- NPI 1023666005
-
- Urgent Care Clinic/Center
- Highlands Ranch, CO
- NPI 1811555022
-
- Internal Medicine Physician
- Highlands Ranch, CO
- NPI 1821413923
-
- Family Medicine Physician
- Littleton, CO
- NPI 1841223856
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1356650360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 STAR RANCH RD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812129831",
"telephone_number": "501-987-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S 9TH ST",
"city": "CANON CITY",
"state": "CO",
"postal_code": "812124911",
"telephone_number": "719-269-8820"
}
],
"practiceLocations": [
{
"address_1": "1090 Arnold Dr",
"address_purpose": "LOCATION",
"city": "Little Rock AFB",
"state": "AR",
"postal_code": "720994933",
"country_code": "US",
"telephone_number": "501-987-2932",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1008 Minnequa Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043733",
"country_code": "US",
"telephone_number": "719-776-8040",
"fax_number": "719-776-8050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "TABITHA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-26",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0003062",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9120043",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0003062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.