Individual provider Active NPI

Toloa Pearl, NP

  • Gerontology Nurse Practitioner
  • Florence, CO
National Provider Identifier
1215442397
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0993574-NP Issued in CO
Practice address
501 W 5TH St
Florence, CO 81226-1126
Phone
(719) 784-4816
Fax
(719) 784-6014
NPI assigned
Dec 11, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0993574-NP CO Primary

Addresses

Primary practice location

501 W 5TH St
Florence, CO 81226-1126

Mailing address

501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816

Other names 1

  • Toloa E Pearl Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002212 CO Practitioner - Nurse Practitioner 9638081607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Medical Center LLCGroup PAC ID 0648301838, 5 clinicians

Practice addresses (Care Compare)

501 W 5TH St
Florence, CO 81226-1126
Phone (719) 784-4816

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Center LLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

501 W 5th St
Florence, CO 81226
Phone (719) 784-4816

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1215442397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 5TH ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261126",
            "telephone_number": "719-784-4816",
            "fax_number": "719-784-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 5TH ST",
            "city": "FLORENCE",
            "state": "CO",
            "postal_code": "812261126",
            "telephone_number": "719-784-4816",
            "fax_number": "719-784-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "TOLOA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993574-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOLOA",
            "last_name": "PEARL",
            "middle_name": "E",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florence, CO

Sources for this page

Verify at the official NPI Registry.