Tonya McClain, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

123970 Issued in MO

Practice address

610 N One Mile Rd
Dexter, MO 63841-2539

Phone

(573) 624-3600

NPI assigned

Jul 9, 2012

Last updated

Aug 31, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tonya.mcclain.1@8825.direct.athenahealth.com

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.

• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff CRNA

  • Certified Registered Nurse Anesthetist
  • Poplar Bluff, MO
  • NPI 1730330168
  Medicare reassignment NPD
• Poplar Bluff Regional Medical Center LLC

  dba Poplar Bluff Regional Medical Center

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724
  NPD
• Poplar Bluff Regional Medical Center, LLC

  dba Dexter Medical Clinic

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1669888681
  NPD
• Poplar Bluff Regional Medical Center LLC

  dba Malden Medical Center

  • Rural Health Clinic/Center
  • Malden, MO
  • NPI 1801839147
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1336404052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412539",
            "telephone_number": "573-624-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412539",
            "telephone_number": "573-624-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "TONYA",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "123970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonya.mcclain.1@8825.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "610 N One Mile Rd",
            "city": "Dexter",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638412539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marion Eye Centers, LTD.
• Alexis Mayberry, CCC-SLP
• Hillary A Mayberry, LPC
• Kathryn A. Mayberry, O.D.
• Christa Renee McBroom, PHARMD
• Angela Kaye McGowan, LPC
• Summer Lynn McGowan, LPC
• Amy Mekan, RN
• Memory Lane of Dexter, LLC (Memory Lane of Dexter)
• Aaron Kate Menley

• Pediatric Nurse Practitioner in Dexter, MO
• Providers in Dexter, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.