Individual provider Active NPI

Tonya Elaine Buchanan, ANP-BC

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1043556467
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2012030521 Issued in MO
Practice address
3655 Vista Ave
Center for Blood and Marrow Outpatient Transplantation
Saint Louis, MO 63110-2539
Phone
(314) 577-8000
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2012030521 MO Primary

Addresses

Primary practice location

3655 Vista Ave
Center for Blood and Marrow Outpatient Transplantation
Saint Louis, MO 63110-2539

Mailing address

3635 Vista Ave
Department of Nursing
Saint Louis, MO 63110-2539
Phone (314) 577-8000

Other names 1

  • Tonya Elaine Harvey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130920000133 MO Practitioner - Nurse Practitioner 6800030446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Missouri LLCGroup PAC ID 7315340213, 25 clinicians

Practice addresses (Care Compare)

3843 Gravois Ave
Oak Street Health Tower Grove
Saint Louis, MO 63116-4657
Phone (314) 888-0981

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012030521MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Missouri, LLC CurrentSince Jun 26, 2023 Accepting new patients
Signify Health, LLC CurrentSince Aug 5, 2023 Accepting new patients

Locations

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1043556467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "DEPARTMENT OF NURSING",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 VISTA AVE",
            "address_2": "CENTER FOR BLOOD AND MARROW OUTPATIENT TRANSPLANTATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "TONYA",
        "middle_name": "ELAINE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012030521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "HARVEY",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.