Individual provider Active NPI

Tonia Rene'E Branson, IPP/CNA

  • Contractor
  • McAlester, OK
National Provider Identifier
1003082611
Registry record updated May 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
200126080A Issued in OK
Practice address
RR 3 Box 152a
McAlester, OK 74501-9514
Phone
(918) 470-0959
NPI assigned
May 3, 2008
Last updated
May 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 200126080A OK Primary

Addresses

Primary practice location

RR 3 Box 152a
McAlester, OK 74501-9514

Mailing address

PO Box 36
Savanna, OK 74565-0036
Phone (918) 470-0959

Other identifiers 1

IdentifierTypeStateIssuer
200126080MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200126080AOKMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209772800000",
    "number": "1003082611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "SAVANNA",
            "state": "OK",
            "postal_code": "745650036",
            "telephone_number": "918-470-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 152A",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745019514",
            "telephone_number": "918-470-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "TONIA",
        "middle_name": "RENE'E",
        "name_prefix": "Mrs.",
        "credential": "IPP/CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-03",
        "last_updated": "2008-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OK",
            "license": "200126080A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200126080",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.