Individual provider Active NPI

Tonya Atwood

  • Home Health Aide
  • Hudson, MI
National Provider Identifier
1720499296
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
D8N9M3X2 Issued in MI
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

Updated by the provider on May 18, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
223682527061414041OtherMIEFTPS 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

LicenseStateTypeSpecialty
230015341500311MIMDCommunity Health Worker
G5T2D5K7MIMDPersonal Care Attendant
D8N9M3X2MIMDHome Health Aide
Z4B4W6D2MIMDHome 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.

Verify at the official NPI Registry.