Active NPI
Tonya Hale Fleenor, NP
- Acute Care Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1699847863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71002254A
- Practice address
- 2100 N Main St # 304
Crown Point, IN 46307-1877 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71002254A | IN | |
| Nurse Practitioner | 363L00000X | 3015903 | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 71002254A | IN | Primary |
Addresses
Primary practice location
2100 N Main St # 304
Crown Point, IN 46307-1877
Mailing address
PO Box 10299
Fort Wayne, IN 46851-0299
Phone (574) 546-1900
Other practice location 1
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone (502) 749-6249
Other practice location 2
2645 N Laurel Rd Ste B
London, KY 40741-9075
Phone (502) 749-6249
Other practice location 3
4972 Lincoln Ave Ste 204
Evansville, IN 47715-7909
Phone (812) 962-9020
Other practice location 4
1154A Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-7272
Other practice location 5
599 Freedom Park Dr
Crestview Hills, KY 41017-5130
Phone (859) 331-3111
Other practice location 6
500 N Green St
Henderson, KY 42420-2948
Phone (513) 834-7063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000495681 | Other | ANTHEM | |
| 200843190 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1699847863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10299",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468510299",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N MAIN ST # 304",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463071877",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "9702 Stonestreet Rd Ste 120",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402726812",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2645 N Laurel Rd Ste B",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407419075",
"country_code": "US",
"telephone_number": "502-749-6249",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4972 Lincoln Ave Ste 204",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477157909",
"country_code": "US",
"telephone_number": "812-962-9020",
"fax_number": "812-962-8020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1154A Lexington Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249330",
"country_code": "US",
"telephone_number": "502-868-7272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "599 Freedom Park Dr",
"address_purpose": "LOCATION",
"city": "Crestview Hills",
"state": "KY",
"postal_code": "410175130",
"country_code": "US",
"telephone_number": "859-331-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 N Green St",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424202948",
"country_code": "US",
"telephone_number": "513-834-7063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEENOR",
"first_name": "TONYA",
"middle_name": "HALE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71002254A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3015903",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71002254A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000495681",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200843190",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.