Individual provider Active NPI

Tonya L Goldston, RN, BSN, CCRC, CMC

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1083896427
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
700308 Issued in TX
Practice address
6363 Forest Park Rd
B9-100
Dallas, TX 75390-9105
Phone
(214) 648-6415
Fax
(214) 648-4474
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 700308 TX Primary

Addresses

Primary practice location

6363 Forest Park Rd
B9-100
Dallas, TX 75390-9105

Mailing address

6363 Forest Park Rd
B9-100
Dallas, TX 75390-9105
Phone (214) 648-6415

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
700308TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1083896427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "B9-100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909105",
            "telephone_number": "214-648-6415",
            "fax_number": "214-648-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 FOREST PARK RD",
            "address_2": "B9-100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909105",
            "telephone_number": "214-648-6415",
            "fax_number": "214-648-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTON",
        "first_name": "TONYA",
        "middle_name": "L",
        "credential": "RN, BSN, CCRC, CMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "700308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.