Individual provider Active NPI

Tonia Patrice Tash, FNP-BC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1548696008
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25008 Issued in SC
Practice address
4711 Forest Dr Ste 3
Columbia, SC 29206-3125
Phone
(803) 821-8333
Fax
(864) 751-5834
NPI assigned
Sep 16, 2013
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25008 SC Primary
Licensed Practical Nurse 164W00000X PR37593 SC

Addresses

Primary practice location

4711 Forest Dr Ste 3
Columbia, SC 29206-3125

Mailing address

4711 Forest Dr Ste 3
Columbia, SC 29206-3125
Phone (803) 821-8333

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

State licenses

LicenseStateTypeSpecialty
PR37593SCMDLicensed Practical Nurse
25008SCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1548696008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 FOREST DR STE 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063125",
            "telephone_number": "803-821-8333",
            "fax_number": "864-751-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 FOREST DR STE 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063125",
            "telephone_number": "803-821-8333",
            "fax_number": "864-751-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASH",
        "first_name": "TONIA",
        "middle_name": "PATRICE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "25008",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "PR37593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.