Individual provider Active NPI

Thomas Luciano Tolman

  • Student in an Organized Health Care Education/Training Program
  • Lansing, MI
National Provider Identifier
1619520517
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2900 Collins Rd
Lansing, MI 48910-8394
Phone
(517) 975-6000
NPI assigned
Jul 19, 2019
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709004152 MI Order and Referring Only - Family PracticePractitioner - Family Practice 6901233063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Young Mens Christian Association of Boise City Idaho Health Educator PastSince Jul 25, 2019 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.

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

Verify at the official NPI Registry.