Active NPI
Tonya Atwood
- Home Health Aide
- Hudson, MI
National Provider Identifier
1720499296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- D8N9M3X2
- Practice address
- 315 Grove St
Hudson, MI 49247-1213 - Phone
- (517) 398-0287
- Fax
- (517) 306-6016
- NPI assigned
- May 18, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 230015341500311 | MI | |
| Personal Care Attendant | 3747P1801X | G5T2D5K7 | MI | |
| Home Health Aide | 374U00000X | D8N9M3X2 | MI | Primary |
| Home Health Aide | 374U00000X | Z4B4W6D2 | MI |
Addresses
Primary practice location
315 Grove St
Hudson, MI 49247-1213
Mailing address
315 Grove St
Hudson, MI 49247-1213
Phone (517) 398-0287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223682527061414041 | Other | MI | EFTPS INQUIRY PIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230015341500311 | MI | MD | Community Health Worker |
| G5T2D5K7 | MI | MD | Personal Care Attendant |
| D8N9M3X2 | MI | MD | Home Health Aide |
| Z4B4W6D2 | MI | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400371200000",
"number": "1720499296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 GROVE ST",
"city": "HUDSON",
"state": "MI",
"postal_code": "492471213",
"telephone_number": "517-398-0287",
"fax_number": "517-306-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 GROVE ST",
"city": "HUDSON",
"state": "MI",
"postal_code": "492471213",
"telephone_number": "517-398-0287",
"fax_number": "517-306-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWOOD",
"first_name": "TONYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-18",
"last_updated": "2014-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": "230015341500311",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MI",
"license": "G5T2D5K7",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "D8N9M3X2",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "Z4B4W6D2",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EFTPS INQUIRY PIN",
"identifier": "223682527061414041",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.