Tonya Maretta Moss

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704204426 Issued in MI

Practice address

25712 Grand River Ave
Redford, MI 48240-1431

Phone

(313) 286-3031

Fax

(313) 286-3135

NPI assigned

Dec 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Tonya Maretta Moss Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Stephen Burden Dba Mary Lee Community Health & Training Center

  dba Mary Lee Community Health

  • General Practice Physician
  • Redford, MI
  • NPI 1083981724
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1700189636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24633 PEMBROOKE DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333159",
            "telephone_number": "248-755-5482",
            "fax_number": "313-286-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25712 GRAND RIVER AVE",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482401431",
            "telephone_number": "313-286-3031",
            "fax_number": "313-286-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "TONYA",
        "middle_name": "MARETTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-15",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704204426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "MOSS",
            "middle_name": "MARETTA",
            "prefix": "MRS.",
            "credential": "WHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Lynn Morgan, LMSW
• Morning Tea Therapy
• Glynis Julia Morris, CPSS, CPRC
• Patricia Morris
• Linda C Morrison, LLMSW
• Marissa Mozariwskyj, NP
• Ms BS Consulting LLC
• Yannick Mugenzi
• Rokeya Muhaimeen, MD
• Laurie Ann Mulka, DDS

• Women's Health Nurse Practitioner in Redford, MI
• Providers in Redford, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.

Verify at the official NPI Registry.