Individual provider Active NPI

Tabitha Casey Weddle, APRN

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1497555296
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4035998 Issued in KY
Practice address
804 W Laurel Rd
London, KY 40741-8209
Phone
(606) 770-5026
Fax
(855) 710-6242
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 4035998 KY Primary

Addresses

Primary practice location

804 W Laurel Rd
London, KY 40741-8209

Mailing address

PO Box 1535
Barbourville, KY 40906-5535
Phone (606) 770-5026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250602002699 KY Practitioner - Nurse Practitioner 3274042213 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Associates of Barbourville Inc CurrentSince May 5, 2025 Accepting new patients
Family Health Care Associates 11 Limited Liability Company CurrentSince Jul 22, 2025 Accepting new patients

Locations

1927 S US Highway 25E
Barbourville, KY 40906
Phone (606) 546-5001

804 W Laurel Rd
London, KY 40741
Phone (606) 770-5026

249 Old US Highway 421
Manchester, KY 40962
Phone (606) 599-0077

Organizations & group practices 2

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": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1497555296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065535",
            "telephone_number": "606-770-5026",
            "fax_number": "855-710-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407418209",
            "telephone_number": "606-770-5026",
            "fax_number": "855-710-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "TABITHA",
        "middle_name": "CASEY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4035998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.