Toni Ruth Quezada

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

177135 Issued in TX

Practice address

11567 19TH Ave
Tyler, TX 75708-3205

Phone

(903) 805-1040

NPI assigned

Sep 24, 2020

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Toni Ruth Meadville Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1174130124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11567 19TH AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083205",
            "telephone_number": "903-805-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11567 19TH AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757083205",
            "telephone_number": "903-805-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "TONI",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "177135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "MEADVILLE",
            "middle_name": "RUTH",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nadia Zulfa Quadri, MD
• Qualicare Home Health LLC
• Rebekah Leah Quarles, LVN
• Jahn Quattlebaum
• Enrique Mario Quevedo, II, MD
• Enrique C Quiambao, FNP-C
• Crystal Quigg, LBSW
• Kennetha Rose Quinney
• Patricia D Quiroz, RN BSN CNOR RNFA
• Raheel Aurangzeb Qureshi, MD

• Licensed Vocational Nurse in Tyler, TX
• Providers in Tyler, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.