Individual provider Active NPI

Tai Watson Tonkphontong

  • Psychiatric/Mental Health Registered Nurse
  • Pittsburgh, PA
National Provider Identifier
1255068581
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN743431 Issued in PA
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

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RN743431PAMDPsychiatric/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.

Verify at the official NPI Registry.