Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tabitha Marie Lane, PA

Individual provider Medical Physician Assistant · NPI 1356650360

Mrs. Tabitha Marie Lane, PA is a Physician Assistant in Canon City, Colorado. Qualified in 2009, 17 years ago. Practices with Button Family Practice PC, a 9-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
17
Licensed in
CO, FL
In the registry since
2010
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

715 S 9th St
Canon City, CO 81212-4911
Phone: (719) 269-8820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 — (501) 987-2932
  • 1008 Minnequa Ave, Pueblo, CO 81004-3733 — (719) 776-8040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0003062 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0003062 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 9120043 (FL)

Record details

NPI number1356650360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2010
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Button Family Practice Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canon City