Active NPI
Thomas Luciano Tolman
- Student in an Organized Health Care Education/Training Program
- Lansing, MI
National Provider Identifier
1619520517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2900 Collins Rd
Lansing, MI 48910-8394 - Phone
- (517) 975-6000
- NPI assigned
- Jul 19, 2019
- Last updated
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Health Educator | 174H00000X | ID |
Addresses
Primary practice location
2900 Collins Rd
Lansing, MI 48910-8394
Mailing address
2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-6000
Other practice location 1
419 N 11th St
Boise, ID 83702-5332
Phone (208) 344-5502 ext. 207
Other names 1
- Tommy Tolman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tommy_tolman_6@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240709004152 | MI | Order and Referring Only - Family Practice | 6901233063 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Young Mens Christian Association of Boise City Idaho | Health Educator | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Treasure Valley Family YMCA
- Health Educator
- Boise, ID
- NPI 1427504398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1619520517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 COLLINS RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489108394",
"telephone_number": "517-975-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 COLLINS RD",
"city": "LANSING",
"state": "MI",
"postal_code": "489108394",
"telephone_number": "517-975-6000"
}
],
"practiceLocations": [
{
"address_1": "419 N 11th St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837025332",
"country_code": "US",
"telephone_number": "208-344-5502 x207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLMAN",
"first_name": "THOMAS",
"middle_name": "LUCIANO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "ID",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tommy_tolman_6@hotmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1751 Elizabeth Blvd",
"city": "Twin Falls",
"state": "ID",
"country_code": "US",
"postal_code": "833016938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TOMMY",
"last_name": "TOLMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.