Tonya Richelle Jessie, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703117284 Issued in MI

Practice address

400 Stoddard Rd
Richmond, MI 48062-2505

Phone

(810) 987-1258

NPI assigned

Nov 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tonya Richelle Mason 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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1184448011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STODDARD RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622505",
            "telephone_number": "810-987-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STODDARD RD",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480622505",
            "telephone_number": "810-987-1258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 8th St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480605804",
            "country_code": "US",
            "telephone_number": "810-987-1258 x5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESSIE",
        "first_name": "TONYA",
        "middle_name": "RICHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703117284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MASON",
            "middle_name": "RICHELLE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Ann Hoxsey
• Hussein A Hussein, RPH
• Jacqueline Jaboro
• Justin Jacobson
• Tony A Jessie
• Kevin John
• James A Johns
• Kay I Johnson
• Constance Marie Jones, PA-C
• Casey Kaatz, RPH.

• Licensed Practical Nurse in Richmond, MI
• Providers in Richmond, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.