Individual provider Active NPI

Ashley Tubb, PA-C

  • Physician Assistant
  • Live Oak, TX
National Provider Identifier
1356732028
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12709 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3258
Phone
(210) 477-5151
Fax
(210) 477-5161
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

12709 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3258

Mailing address

12709 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3258
Phone (210) 477-5151

Other names 1

  • Ashley Jeter Former name

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
I20151028000034 TX Practitioner - Physician Assistant 0042529307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

18707 Hardy Oak Blvd
Suite 415
San Antonio, TX 78258-4841
Phone (210) 477-5151

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

6704 Randolph Blvd
Live Oak, TX 78233-4222
Phone (210) 477-5151

8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151

PO Box
Suite 5730
Belfast, ME 04915-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Nov 7, 2019 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233

8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone 2104775151 ext. 108

18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: ashley.tubb.1@1438.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1356732028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-477-5151",
            "fax_number": "210-477-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBB",
        "first_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "JETER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.