Tatiana Webb, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

408143 Issued in NY

Practice address

469 Miller Ave
Freeport, NY 11520-6114

Phone

(516) 717-5025

NPI assigned

Mar 5, 2025

Reactivated

Feb 4, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Park Medical Health PCGroup PAC ID 3577085901, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Willow Park Medical Health PC

  • Multi-Specialty Clinic/Center
  • Glen Head, NY
  • NPI 1063219475

  NY

  Medicare reassignment Care Compare group NPD
• Willow Park Academy LLC

  • Behavior Analyst
  • Stamford, CT
  • NPI 1376407783
  NPD (past)

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1861290793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206114",
            "telephone_number": "516-717-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MILLER AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206114",
            "telephone_number": "516-717-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TATIANA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "deactivation_date": "2025-12-10",
        "reactivation_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "408143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Charles Wallace, PA-C
• Carolyn Walsh, MSW
• Walter E. Mendoza Chiropractor, P.C
• Regine Walton, L.P.N.
• Miriam Warren, RN
• Mindy F Wellen, R.N.
• Wem Diagnostic Chiropractic Services PC
• Pauli C Wertheim, BS IN OT
• Western Nassau Diagnostic Imaging Services P.C.
• Wheels to Wellness

• All providers in Freeport, NY
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.