Individual provider Active NPI

Mary Leah Webb, F.N.P.

  • Family Nurse Practitioner
  • Livingston, TN
National Provider Identifier
1487026548
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020345 Issued in TN
Practice address
5751 Bradford Hicks Dr
Livingston, TN 38570-2237
Phone
(931) 823-3030
Fax
(931) 823-3018
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000020345 TN Primary

Addresses

Primary practice location

5751 Bradford Hicks Dr
Livingston, TN 38570-2237

Mailing address

5751 Bradford Hicks Dr
Livingston, TN 38570-2237
Phone (931) 823-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20151030001454 TN Practitioner - Nurse Practitioner 7719297969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John R CloughGroup PAC ID 6103980305, 8 clinicians

Practice addresses (Care Compare)

5751 Bradford Hicks Dr
Livingston, TN 38570-2237
Phone (931) 823-3030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John R Clough CurrentSince Apr 1, 2022 Accepting new patients

Locations

5751 Bradford Hicks Dr
Livingston, TN 38570
Phone (931) 400-5154

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487026548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BRADFORD HICKS DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385702237",
            "telephone_number": "931-823-3030",
            "fax_number": "931-823-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 BRADFORD HICKS DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385702237",
            "telephone_number": "931-823-3030",
            "fax_number": "931-823-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MARY",
        "middle_name": "LEAH",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TN

Sources for this page

Verify at the official NPI Registry.