Individual provider Active NPI

Tonisha Monique Harrison, NP-C

  • Adult Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1053778332
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
352360 Issued in OH
Practice address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone
(419) 291-4000
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704243006 MI
Gerontology Nurse Practitioner 363LG0600X 352360 OH
Adult Health Nurse Practitioner 363LA2200X 352360 OH Primary

Addresses

Primary practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Mailing address

5616 Birchdale Dr
Toledo, OH 43623-1906
Phone (419) 460-0789

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tharrison64133@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160308001735 OH Practitioner - Nurse Practitioner 8224334826 Reassigns benefits to 3 organizations
I20160401000318 MI Practitioner - Nurse Practitioner 8224334826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians
Promedica Monroe PhysiciansGroup PAC ID 2365696176, 64 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111

428 S Monroe St
Suite 201
Monroe, MI 48161-2249
Phone (419) 460-0789

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8987

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
352360OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Current Accepting new patients
Michigan Family Medicine and Urgent Care CurrentSince Feb 7, 2024 Accepting new patients
Onsight, Inc. Current Accepting new patients
Neighborhood Health Services L.L.C Adult Health CurrentSince Mar 18, 2026 Accepting new patients
Mobile Medical, Inc. CurrentSince Feb 8, 2016 Accepting new patients
Mobile Medical, Inc. Gerontology CurrentSince Feb 8, 2016 Accepting new patients
Neighborhood NP Health Services LLC Adult Health CurrentSince Apr 14, 2026 Accepting new patients
Onsight, Inc. CurrentSince Feb 20, 2016 Accepting new patients
Onsight, Inc. CurrentSince Feb 20, 2016 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients

Locations

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

4000 N Michigan Rd
Dimondale, MI 48821
Phone (517) 646-6258

6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822

7515 Secor Rd
Lambertville, MI 48144
Phone (419) 893-9230

428 S Monroe St
Ste 201
Monroe, MI 48161

20820 Greenfield Rd
#2
Oak Park, MI 48237
Phone (586) 733-0334

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

135 Merchant St
Ste 270
Cincinnati, OH 45246
Phone (513) 771-7483

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

3100 W Central Ave
#156
Toledo, OH 43606

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1053778332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 BIRCHDALE DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231906",
            "telephone_number": "419-460-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-291-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "TONISHA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2023-11-03",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704243006",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "352360",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "352360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tharrison64133@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.