Individual provider Active NPI

Tonya M. Wears, LPN

  • Licensed Practical Nurse
  • Blue Rock, OH
National Provider Identifier
1073891693
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN108768 Issued in OH
Practice address
8850 Old River Rd
Blue Rock, OH 43720-9541
Phone
(740) 408-3211
NPI assigned
Jul 31, 2011
Last updated
Jul 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN108768 OH Primary

Addresses

Primary practice location

8850 Old River Rd
Blue Rock, OH 43720-9541

Mailing address

8850 Old River Rd
Blue Rock, OH 43720-9541
Phone (740) 408-3211

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
PN108768OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1073891693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 OLD RIVER RD",
            "city": "BLUE ROCK",
            "state": "OH",
            "postal_code": "437209541",
            "telephone_number": "740-408-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 OLD RIVER RD",
            "city": "BLUE ROCK",
            "state": "OH",
            "postal_code": "437209541",
            "telephone_number": "740-408-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARS",
        "first_name": "TONYA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN108768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Rock, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.