Active NPI
Tiffany Ann Webb, LMT CT
- Peer Specialist
- Dillingham, AK
National Provider Identifier
1437342490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 6000 Kanakanak Road
Dillingham, AK 99576-0130 - Phone
- (907) 842-5266
- Fax
- (907) 842-5915
- NPI assigned
- Aug 23, 2007
- Last updated
- Dec 6, 2022
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3338 | AK | |
| Massage Therapist | 225700000X | NU | ||
| Peer Specialist | 175T00000X | NU | Primary |
Addresses
Primary practice location
6000 Kanakanak Road
Dillingham, AK 99576-0130
Mailing address
6000 Kanakanak Road
Dillingham, AK 99576
Phone (907) 842-5266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3338 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1437342490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 KANAKANAK ROAD",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "99576",
"telephone_number": "907-842-5266",
"fax_number": "907-842-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 KANAKANAK ROAD",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "995760130",
"telephone_number": "907-842-5266",
"fax_number": "907-842-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "TIFFANY",
"middle_name": "ANN",
"credential": "LMT CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "3338",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dillingham, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.