Tracey Lee Tonsor, PA-C, M.P.A.S.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003020 Issued in VA

Practice address

158 Executive Dr
Danville, VA 24541-4100

Phone

(434) 791-1088

Fax

(434) 799-8525

NPI assigned

Aug 5, 2009

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

Other names 1

• Miss Tracey Tonsor Brownback Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1548491707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-791-1088",
            "fax_number": "434-799-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-791-1088",
            "fax_number": "434-799-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONSOR",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, M.P.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "BROWNBACK",
            "middle_name": "TONSOR",
            "prefix": "MISS",
            "credential": "PA-C,  M.P.A.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Danville, VA
• Providers in Danville, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.