Individual provider Active NPI

Tiffany Ruth Cutbirth, ANP

  • Adult Health Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1609115708
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
622548 Issued in TX
Practice address
22698 Professional Dr
Suite 120
Kingwood, TX 77339-5700
Phone
(281) 348-4050
NPI assigned
Feb 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 622548 TX Primary

Addresses

Primary practice location

22698 Professional Dr
Suite 120
Kingwood, TX 77339-5700

Mailing address

22698 Professional Dr
Suite 120
Kingwood, TX 77339-5700
Phone (281) 348-4050

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
I20130513000066 TX Practitioner - Nurse Practitioner 3375780398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Lady With the Lamp PLLCGroup PAC ID 6002128626, 3 clinicians

Practice addresses (Care Compare)

2807 Kings Crossing Dr
Suite 2323
Kingwood, TX 77345-5528
Phone (281) 354-1234

3007 Woodland Hills Dr
PMB 73
Kingwood, TX 77339-1403

Hospital & facility affiliations

  • Lake Houston Home Health Home health agency, Huffman, TX, CCN 747437
  • Pathfinder Home Health Home health agency, The Woodlands, TX, CCN 678058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Lady With the Lamp PLLC CurrentSince Jun 3, 2015 Accepting new patients

Locations

2807 Kings Crossing Dr
Ste 2323
Kingwood, TX 77345
Phone (281) 354-1234

3007 Woodland Hills Dr
Kingwood, TX 77339

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": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1609115708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR",
            "address_2": "SUITE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395700",
            "telephone_number": "281-348-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR",
            "address_2": "SUITE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395700",
            "telephone_number": "281-348-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTBIRTH",
        "first_name": "TIFFANY",
        "middle_name": "RUTH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "622548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.