NPIMap

Individual provider Active NPI

Tiffany Renee Webb, PA

  • Physician Assistant
  • Montgomery, TX
National Provider Identifier
1740648195
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10380 Issued in TX
Practice address
18059 Highway 105 W Ste 115
Montgomery, TX 77356-5001
Phone
(936) 582-7000
Fax
(936) 582-7001
NPI assigned
Jan 31, 2016
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 135420 AK
Physician Assistant 363A00000X PA10380 TX Primary

Addresses

Primary practice location

18059 Highway 105 W Ste 115
Montgomery, TX 77356-5001

Mailing address

PO Box 122338
Dallas, TX 75312-2338
Phone (281) 875-8428

Other identifiers 1

IdentifierTypeStateIssuer
1688689MedicaidAK

Other names 1

  • Ms. Tiffany Renee Owens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019000842 TX Practitioner - Physician Assistant 2668725714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10380TXMDPhysician Assistant
135420AKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates, PLLC CurrentSince Dec 3, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 24, 2018 Accepting new patients
Austin Family Allergy & Asthma, PA CurrentSince Sep 6, 2023 Accepting new patients
Allergy & ENT Associates, PLLC CurrentSince Sep 6, 2023 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

14800 Frye Rd
Fl 2
Ft Worth, TX 76155

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

Interoperability endpoints

  • Direct secure messaging: trwebb@direct.anthc.org

Organizations & group practices 5

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1740648195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122338",
            "telephone_number": "281-875-8428",
            "fax_number": "281-874-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18059 HIGHWAY 105 W STE 115",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565001",
            "telephone_number": "936-582-7000",
            "fax_number": "936-582-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AK",
            "license": "135420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688689",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "OWENS",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.