Active NPI
Tonya S Fenzl, C.N.M.
- Advanced Practice Midwife
- Trinity, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 71014602A
- Practice address
- 2043 Little Rd
Trinity, FL 34655-4421 - Phone
- (727) 846-7000
- NPI assigned
- Aug 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | APRN9489996 | FL | |
| Advanced Practice Midwife | 367A00000X | RN393909 | OH | |
| Advanced Practice Midwife | 367A00000X | 71014602A | IN | Primary |
Addresses
Primary practice location
2043 Little Rd
Trinity, FL 34655-4421
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (727) 316-6210
Other practice location 1
2439 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone (941) 343-0609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA244 | Other | FL | MEDICARE HF |
| 115505700 | Medicaid | FL |
Other names 1
- Tonya S Burroughs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9489996 | FL | MD | Advanced Practice Midwife |
| 71014602A | IN | MD | Advanced Practice Midwife |
| RN393909 | OH | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Hills OB-GYN Associates LLC | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
10307 DuPont Circle Dr W
Ste A
Fort Wayne, IN 46825
Phone (260) 458-3240
10307 DuPont Circle Dr W
Ste B
Fort Wayne, IN 46825
Phone (260) 443-7420
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1659703064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "727-316-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 LITTLE RD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554421",
"telephone_number": "727-846-7000"
}
],
"practiceLocations": [
{
"address_1": "2439 Bee Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342396304",
"country_code": "US",
"telephone_number": "941-343-0609",
"fax_number": "941-378-8190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENZL",
"first_name": "TONYA",
"middle_name": "S",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9489996",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OH",
"license": "RN393909",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "71014602A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE HF",
"identifier": "OA244",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115505700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "BURROUGHS",
"middle_name": "S",
"credential": "C.N.M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.