Individual provider Active NPI

Martha N. Toadlena, LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Fort Defiance, AZ
National Provider Identifier
1053512673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11591 Issued in AZ
Practice address
Old Community Health BLDG
Ft. Defiance, AZ 86504-1490
Phone
(928) 729-4349
Fax
(928) 729-4097
NPI assigned
May 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11591 AZ Primary

Addresses

Primary practice location

Old Community Health BLDG
Ft. Defiance, AZ 86504-1490

Mailing address

PO Box 744
Sanders, AZ 86512-0744
Phone (928) 729-4349

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053512673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744",
            "city": "SANDERS",
            "state": "AZ",
            "postal_code": "865120744",
            "telephone_number": "928-729-4349",
            "fax_number": "928-729-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD COMMUNITY HEALTH BLDG",
            "city": "FT. DEFIANCE",
            "state": "AZ",
            "postal_code": "865041490",
            "telephone_number": "928-729-4349",
            "fax_number": "928-729-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOADLENA",
        "first_name": "MARTHA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.