Active NPI
Tai Watson Tonkphontong
- Psychiatric/Mental Health Registered Nurse
- Pittsburgh, PA
National Provider Identifier
1255068581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN743431
- Practice address
- 3501 Forbes Ave
Pittsburgh, PA 15213-3317 - Phone
- (412) 235-5444
- NPI assigned
- Aug 5, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN743431 | PA | Primary |
Addresses
Primary practice location
3501 Forbes Ave
Pittsburgh, PA 15213-3317
Mailing address
143 Oneida St Apt 1
Pittsburgh, PA 15211-1264
Phone (304) 534-2382
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tonkphontongt@upmc.edu | Direct | Comprehensive Recovery Service |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN743431 | PA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1255068581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 ONEIDA ST APT 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152111264",
"telephone_number": "304-534-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 FORBES AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133317",
"telephone_number": "412-235-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONKPHONTONG",
"first_name": "TAI",
"middle_name": "WATSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "PA",
"license": "RN743431",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tonkphontongt@upmc.edu",
"affiliation": "Y",
"endpointDescription": "work email address",
"affiliationName": "Comprehensive Recovery Service",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3501 Forbes Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152133317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.