Tawny Marie Goninan, MA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CM60400365 Issued in WA

Practice address

1201 S Proctor St
Tacoma, WA 98405-2047

Phone

(253) 396-5000

Fax

(253) 383-5548

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1447683628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 104TH ST S APT X102",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984446775",
            "telephone_number": "253-753-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052047",
            "telephone_number": "253-396-5000",
            "fax_number": "253-383-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONINAN",
        "first_name": "TAWNY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CM60400365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomasz Gondek, PAC
• Chunliu Gong
• Zi Gong, MD
• Drusilla Gonia
• Kent Goninan
• Dorothy G Gonzaga, ARNP
• Arantxa L Gonzales Vasquez
• Alyssa Marie Gonzales
• Kosal Eugene Gonzales
• Kristina Rae Cruz Gonzales, PT, DPT, CLT

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.