Individual provider Active NPI

Tammy Webb, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Paintsville, KY
National Provider Identifier
1720196074
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4649P Issued in KY
Practice address
958 Broadway St
Paintsville, KY 41240-1346
Phone
(606) 789-8222
NPI assigned
Aug 28, 2006
Last updated
Nov 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4649P KY Primary

Addresses

Primary practice location

958 Broadway St
Paintsville, KY 41240-1346

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other identifiers 2

IdentifierTypeStateIssuer
000000384135OtherKYANTHEN BC/BS
1223569OtherKYCHA HEALTH

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
I20051013000318 KY Practitioner - Nurse Practitioner 3476578923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

2483 Hwy 644
Louisa, KY 41230-9242

2483 Hwy 644 102
Louisa, KY 41230-9242
Phone (606) 638-7488

2483 Hwy 644 104
Louisa, KY 41230-9242
Phone (606) 638-7288

2483 Hwy 644 107
Louisa, KY 41230-9242
Phone (606) 638-1154

2483 Hwy 644 201
Louisa, KY 41230-9242
Phone (606) 638-9404

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-1154

822 S Mayo TRL
Paintsville, KY 41240-1384
Phone (606) 789-8222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Medical Clinics Inc CurrentSince Jan 4, 2016 Accepting new patients
Three Rivers Medical Clinics Inc CurrentSince Jan 4, 2016 Accepting new patients
Mountain Comprehensive Care Center, Inc. Past Accepting new patients

Locations

2483 Highway 644
Ste 107
Louisa, KY 41230
Phone (606) 638-1154

2483 Highway 644
Ste 204
Louisa, KY 41230
Phone (606) 638-7427

822 S Mayo Trl
Paintsville, KY 41240
Phone (606) 789-5541

958 Broadway St
Paintsville, KY 41240
Phone (606) 789-2424

Interoperability endpoints

  • Direct secure messaging: tammy.webb.2@1954.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1720196074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572",
            "fax_number": "606-886-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 BROADWAY ST",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412401346",
            "telephone_number": "606-789-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TAMMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4649P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEN BC/BS",
            "identifier": "000000384135",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "1223569",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paintsville, KY

Sources for this page

Verify at the official NPI Registry.