Active NPI
Alicia Rose Webb, PNP
- Pediatric Nurse Practitioner
- Thompsons Station, TN
National Provider Identifier
1669647756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN0000012304
- Practice address
- 990 Elliston Way, Suite 100
Grace Pediatrics, PLLC
Thompsons Station, TN 37179 - Phone
- (615) 550-5221
- Fax
- (615) 550-5226
- NPI assigned
- Apr 29, 2008
- Last updated
- Feb 24, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APN0000012304 | TN | Primary |
Addresses
Primary practice location
990 Elliston Way, Suite 100
Grace Pediatrics, PLLC
Thompsons Station, TN 37179
Mailing address
1335 Rock Springs Rd
Suite 100
Smyrna, TN 37167-6108
Phone (615) 459-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000167 | Medicaid | TN |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000012304 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
| Grace Pediatrics PLLC | Past | Accepting new patients |
Interoperability endpoints
- alicia.webb.1@31800.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Smyrna, TN
- NPI 1467781690
-
- Pediatrics Physician
- Pleasant View, TN
- NPI 1992553689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1669647756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 ROCK SPRINGS RD",
"address_2": "SUITE 100",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676108",
"telephone_number": "615-459-5252",
"fax_number": "615-550-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 ELLISTON WAY, SUITE 100",
"address_2": "GRACE PEDIATRICS, PLLC",
"city": "THOMPSONS STATION",
"state": "TN",
"postal_code": "37179",
"telephone_number": "615-550-5221",
"fax_number": "615-550-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "ALICIA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN0000012304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000167",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thompsons Station, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.