Individual provider Active NPI

Laura Sadler Tittsworth, PA-C

  • Physician Assistant
  • Crowley, TX
National Provider Identifier
1447434295
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06794 Issued in TX
Practice address
901 E FM 1187
Crowley, TX 76036-4358
Phone
(817) 568-2023
Fax
(817) 568-2738
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 PA06794 TX Primary

Addresses

Primary practice location

901 E FM 1187
Crowley, TX 76036-4358

Mailing address

901 E FM 1187
Crowley, TX 76036-4358
Phone (817) 568-2023

Other identifiers 1

IdentifierTypeStateIssuer
1447434295MedicaidTX

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
I20141113001314 TX Practitioner - Physician Assistant 4880768084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

Organizations & group practices 1

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1447434295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E FM 1187",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364358",
            "telephone_number": "817-568-2023",
            "fax_number": "817-568-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E FM 1187",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760364358",
            "telephone_number": "817-568-2023",
            "fax_number": "817-568-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITTSWORTH",
        "first_name": "LAURA",
        "middle_name": "SADLER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447434295",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.