Tonya Danyel Peppers, CFM

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

CFM03411 Issued in AR

Practice address

2913 King St Ste 3
Jonesboro, AR 72401-5353

Phone

(870) 273-4245

NPI assigned

Jul 16, 2020

Last updated

Aug 5, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Just Like You Post-Mastectomy Fitting Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, AR
  • NPI 1497363436
  Authorized official Same address or phone

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1598373425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 FARM CREEK RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048517",
            "telephone_number": "870-273-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 KING ST STE 3",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015353",
            "telephone_number": "870-273-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPERS",
        "first_name": "TONYA",
        "middle_name": "DANYEL",
        "credential": "CFM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": "AR",
            "license": "CFM03411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Justlikeyoufitter@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2913 King St Ste 3",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724015353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Kelly Pendergrass, MHPP
• Jordan Penn
• Karlee Pense
• Scherry Peoples
• Calvin Pepper, MHPP
• Keith Perdue, CRNA
• Peregrine Health Services
• Lilly Perez
• Andrewniquis Perkins
• Jacqueline Faye Perkins

• Mastectomy Fitter in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Mastectomy Fitter in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.