Active NPI
Tina Marie Bond, RN
- Registered Nurse
- Manchester, TN
National Provider Identifier
1619006780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0000116027
- Practice address
- 800 Parks St
Manchester, TN 37355-2482 - Phone
- (931) 723-5134
- Fax
- (931) 723-5148
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000116027 | TN | Primary |
Addresses
Primary practice location
800 Parks St
Manchester, TN 37355-2482
Mailing address
1206 Woodland St
Tullahoma, TN 37388-3043
Phone (931) 455-2218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4289 | Other | TN | PROVIDER ID |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000116027 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619006780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 WOODLAND ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "373883043",
"telephone_number": "931-455-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PARKS ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373552482",
"telephone_number": "931-723-5134",
"fax_number": "931-723-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000116027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "4289",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.