Tonja Myshawne Fogg, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LPN0000066910 Issued in TN

Practice address

1310 24TH Ave S
Nashville, TN 37212-2637

Phone

(615) 327-4751

NPI assigned

Jan 12, 2007

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 identifiers 1

Other names 1

• Mrs. Myshawne Fogg Other 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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235289034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 GREGGWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072707",
            "telephone_number": "615-876-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 24TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122637",
            "telephone_number": "615-327-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGG",
        "first_name": "TONJA",
        "middle_name": "MYSHAWNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TN",
            "license": "LPN0000066910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "0000066910",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYSHAWNE",
            "last_name": "FOGG",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Focus Medical Clinic (Focus Clinical Services, PLLC)
• Focus Medical Clinic, PLLC (Focus Clinical Services, PLLC)
• Kaylene Fodra, AGACNP-BC
• Shaunna C Foell, BCBA
• Mary Dorothy Fogerty, MD
• Eric Scott Fogle, LPC
• Stephanie Ann Foglia, NP
• Agnes Fogo, MD
• Brian James Foley, D.C.
• Eric Foley, N.P. NURSE PRACTITIO

• Licensed Vocational Nurse in Nashville, TN
• Providers in Nashville, TN by specialty
• Licensed Vocational Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.