Active NPI
Ashley Tubb, PA-C
- Physician Assistant
- Live Oak, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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
- 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.