Individual provider Active NPI

Karen B Webb, FNP

  • Nurse Practitioner
  • Alamo, TN
National Provider Identifier
1902819501
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000006899 Issued in TN
Practice address
58 S. Bells St
Alamo, TN 38001
Phone
(731) 696-5401
Fax
(731) 696-5404
NPI assigned
Aug 14, 2006
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000006899 TN Primary

Addresses

Primary practice location

58 S. Bells St
Alamo, TN 38001

Mailing address

58 S. Bells St
Alamo, TN 38001
Phone (731) 696-5401

Other identifiers 3

IdentifierTypeStateIssuer
4032617OtherTNBCBST
500022963OtherTNRAIL ROAD MEDICARE
3346383MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040430001308 TN Practitioner - Nurse Practitioner 7517955446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crockett Medical Clinic IncGroup PAC ID 8921009812, 7 clinicians

Practice addresses (Care Compare)

58 S Bells St
Alamo, TN 38001-1700
Phone (731) 696-5401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000006899TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett Medical Clinic Inc Nurse Practitioner CurrentSince Jan 1, 2002 Accepting new patients

Locations

58 S Bells St
Alamo, TN 38001
Phone (731) 696-5401

Interoperability endpoints

  • Direct secure messaging: admin@crockettmedclinic.e-mdsdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1902819501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S. BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "38001",
            "telephone_number": "731-696-5401",
            "fax_number": "731-696-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S. BELLS ST",
            "city": "ALAMO",
            "state": "TN",
            "postal_code": "38001",
            "telephone_number": "731-696-5401",
            "fax_number": "731-696-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KAREN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000006899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4032617",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "500022963",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3346383",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, TN

Sources for this page

Verify at the official NPI Registry.