Individual provider Active NPI

Tonya R. Moran, FNP

  • Family Nurse Practitioner
  • Dickson, TN
National Provider Identifier
1760605489
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17773 Issued in TN
Practice address
111 Highway 70 E Ste 102
Dickson, TN 37055-2080
Phone
(615) 375-1531
Fax
(615) 375-1526
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147581 TN
Family Nurse Practitioner 363LF0000X 17773 TN Primary

Addresses

Primary practice location

111 Highway 70 E Ste 102
Dickson, TN 37055-2080

Mailing address

127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856
Phone (615) 441-4478

Other identifiers 2

IdentifierTypeStateIssuer
147581OtherTNRN
17773OtherTNAPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20131011000228 TN Practitioner - Nurse Practitioner 1456585108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Practice addresses (Care Compare)

111 Hwy 70 E
Suite 102
Dickson, TN 37055-2080
Phone (615) 375-1531

Hospital & facility affiliations

  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046
  • Ascension Saint Thomas Three Rivers Hospital, Waverly, TN, CCN 441303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17773TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC CurrentSince Apr 1, 2021 Accepting new patients
Dickson Medical Associates, PC CurrentSince Apr 1, 2021 Accepting new patients
Friends and Family Healthcare, LLC. Family Past Accepting new patients

Locations

111 Highway 70 E
Ste 102
Dickson, TN 37055
Phone (615) 229-3045

127 Crestview Park Dr
Ste 209
Dickson, TN 37055

127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478

118 Highway 70 E
Ste 6
Dickson, TN 37055
Phone (615) 810-8440

2300 Patterson St
#M
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: tmclaughlin26941@dicksonmedicalassociates.gardenplot.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1760605489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-441-4478",
            "fax_number": "615-446-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HIGHWAY 70 E STE 102",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552080",
            "telephone_number": "615-375-1531",
            "fax_number": "615-375-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "TONYA",
        "middle_name": "R.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "147581",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "147581",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "17773",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.