Tonya L Jackson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1056041 Issued in TX

Practice address

4650 Lamar Ave
Paris, TX 75462-7400

Phone

(903) 785-3400

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

B. C. Muthappa, M.D., P.a.Group PAC ID 2961689500, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• B. C. Muthappa, M.D., P.a.

  • Family Medicine Physician
  • Clarksville, TX
  • NPI 1134205107
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Essent PRMC LP

  dba Paris Regional Medical Center

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1558023572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754627400",
            "telephone_number": "903-785-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 LAMAR AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754627400",
            "telephone_number": "903-785-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3150 Clarksville St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754608076",
            "country_code": "US",
            "telephone_number": "903-782-9206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TONYA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1056041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Keith Preston MD PA (Regional Neurosurgical Associates)
• Samad Ahmed Jabbar, MD
• Claire Emelyn Jackson, COTA
• Jennifer Nicole Jackson, BA, LPTA
• Paul Thomas Jackson Jr., MD
• Kamie Nicole James, PTA
• Marc A Jamin, ROA
• Laura Janes
• Jose A Jasso, RN
• John E Perez Corporation (Perez Hearing Care Center)

• Gerontology Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.