Individual provider Active NPI

Tonya Jeanene Tajouri, CRT

  • Certified Respiratory Therapist
  • Godfrey, IL
National Provider Identifier
1700279940
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Respiratory TherapistTaxonomy code 227800000X
License
2010008030 Issued in MO
Practice address
8012 Godfrey Rd
Godfrey, IL 62035-2831
Phone
(618) 410-4620
NPI assigned
Mar 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X 2010008030 MO Primary
Certified Respiratory Therapist 227800000X 194005194 IL

Addresses

Primary practice location

8012 Godfrey Rd
Godfrey, IL 62035-2831

Mailing address

8012 Godfrey Rd
Godfrey, IL 62035-2831
Phone (618) 410-4620

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
194005194ILMDCertified Respiratory Therapist
2010008030MOMDCertified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1700279940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352831",
            "telephone_number": "618-410-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352831",
            "telephone_number": "618-410-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJOURI",
        "first_name": "TONYA",
        "middle_name": "JEANENE",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "MO",
            "license": "2010008030",
            "primary": true
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "IL",
            "license": "194005194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Godfrey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.