Individual provider Active NPI

Tabitha Callaway, FNP-C, RN

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1730796566
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010416 Issued in TX
Practice address
1900 Pine St FL 7
Abilene, TX 79601-2432
Phone
(325) 670-6251
NPI assigned
Sep 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 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 1010416 TX Primary

Addresses

Primary practice location

1900 Pine St FL 7
Abilene, TX 79601-2432

Mailing address

14 High Life Cir
Abilene, TX 79606-3440
Phone (509) 434-9347

Other practice location 1

14 High Life Cir
Abilene, TX 79606-3440
Phone (509) 434-9347

Other practice location 2

1517 E Arnold Blvd
Dyess AFB, TX 79607-1348
Phone (325) 696-2432

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherFAMILY PRACTICE

Other names 1

  • Tabitha Millican Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL myhome Direct

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
I20250422002559 TX Practitioner - Nurse Practitioner 0941725964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Practice addresses (Care Compare)

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-6251

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Continuecare Hospital at Hendrick Medical Center Long-term care hospital, Abilene, TX, CCN 452029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity Family Medicine CurrentSince Apr 17, 2025 Accepting new patients

Locations

1900 Pine St
#7
Abilene, TX 79601
Phone (325) 670-6251

1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1730796566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HIGH LIFE CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063440",
            "telephone_number": "509-434-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PINE ST FL 7",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012432",
            "telephone_number": "325-670-6251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 High Life Cir",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796063440",
            "country_code": "US",
            "telephone_number": "509-434-9347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1517 E Arnold Blvd",
            "address_purpose": "LOCATION",
            "city": "Dyess AFB",
            "state": "TX",
            "postal_code": "796071348",
            "country_code": "US",
            "telephone_number": "325-696-2432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "TABITHA",
        "credential": "FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "myhome",
            "affiliation": "N",
            "endpointDescription": "my home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "myhome",
            "address_1": "14 High Life Cir",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "796063440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "MILLICAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.