Active NPI
Phyllis A. Tunis, MSW
- Clinical Social Worker
- Flint, MI
National Provider Identifier
1194897629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801033364
- Practice address
- 1085 S Linden Rd Ste 150
Flint, MI 48532-3430 - Phone
- (810) 262-2100
- Fax
- (810) 230-3376
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801033364 | MI | Primary |
Addresses
Primary practice location
1085 S Linden Rd Ste 150
Flint, MI 48532-3430
Mailing address
1 Hurley PLZ
5TH Floor S.O.N.
Flint, MI 48503-5902
Phone (810) 762-7038
Other practice location 1
G-1125 S. Linden Road
Suite #210
Flint, MI 48532
Phone (810) 230-3370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 750910736 | Other | MI | BLUE SHIELD OPC |
Other names 1
- Phyllis A Smith-Tunis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ptunis1852@direct.hurleymc.com |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1194897629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"address_2": "5TH FLOOR S.O.N.",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-762-7038",
"fax_number": "810-760-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 S LINDEN RD STE 150",
"city": "FLINT",
"state": "MI",
"postal_code": "485323430",
"telephone_number": "810-262-2100",
"fax_number": "810-230-3376"
}
],
"practiceLocations": [
{
"address_1": "G-1125 S. Linden Road",
"address_2": "Suite #210",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "48532",
"country_code": "US",
"telephone_number": "810-230-3370",
"fax_number": "810-230-3376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUNIS",
"first_name": "PHYLLIS",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801033364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OPC",
"identifier": "750910736",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ptunis1852@direct.hurleymc.com",
"affiliation": "N",
"address_1": "1085 S Linden Rd Ste 150",
"city": "Flint",
"state": "MI",
"country_code": "US",
"postal_code": "485323430",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PHYLLIS",
"last_name": "SMITH-TUNIS",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.