Individual provider Active NPI

Tabitha Marie Lane, PA

  • Physician Assistant
  • Canon City, CO
National Provider Identifier
1356650360
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003062 Issued in CO
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

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000216 CO Practitioner - Physician Assistant 1557541588 Reassigns benefits to 2 organizations

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
Button Family Practice PCGroup PAC ID 0840225413, 9 clinicians

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 100Reported as group
Quality
77.46
Promoting interoperability
0
Improvement activities
40
Cost
75.02

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9120043FLMDPhysician Assistant
PA.0003062COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Button Family Practice PC CurrentSince May 11, 2026 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Feb 1, 2026 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Feb 1, 2026 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Dec 14, 2022 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. PastSince Sep 20, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.