Active NPI
Tressia Vondran, R.N., L.M., C.P.M
- Midwife
- Jonesboro, AR
National Provider Identifier
1427358597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 042003
- Practice address
- 911 Vine St
Jonesboro, AR 72401-3912 - Phone
- (870) 931-5903
- Fax
- (870) 210-8780
- NPI assigned
- Oct 23, 2010
- Last updated
- Jun 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 042003 | AR | Primary |
Addresses
Primary practice location
911 Vine St
Jonesboro, AR 72401-3912
Mailing address
911 Vine St
Jonesboro, AR 72401-3912
Phone (870) 931-5903
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042003 | AR | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birthright | Midwife | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1427358597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 VINE ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013912",
"telephone_number": "870-931-5903",
"fax_number": "870-210-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 VINE ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013912",
"telephone_number": "870-931-5903",
"fax_number": "870-210-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONDRAN",
"first_name": "TRESSIA",
"name_prefix": "Mrs.",
"credential": "R.N., L.M., C.P.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-23",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AR",
"license": "042003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.