Active NPI
Toni P Tindal, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
National Provider Identifier
1477599215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041153272
- Practice address
- 8600 N State RT 91
Ste 250
Peoria, IL 61615-9506 - Phone
- (309) 692-5393
- Fax
- (309) 692-2538
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041153272 | IL | Primary |
Addresses
Primary practice location
8600 N State RT 91
Ste 250
Peoria, IL 61615-9506
Mailing address
8600 N State RT 91
Ste 250
Peoria, IL 61615-9506
Phone (309) 692-5393
Other names 1
- Ms. Toni P Lewis
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Past | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1477599215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 N STATE RT 91",
"address_2": "STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159506",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 N STATE RT 91",
"address_2": "STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159506",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDAL",
"first_name": "TONI",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041153272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "LEWIS",
"middle_name": "P",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.