Active NPI
Tina Marie Oneill, NP
- Adult Health Nurse Practitioner
- Carthage, NY
National Provider Identifier
1780723007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F3005691
- Practice address
- 117 N Mechanic St
Carthage, NY 13619-1252 - Phone
- (315) 493-3100
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F3005691 | NY | Primary |
Addresses
Primary practice location
117 N Mechanic St
Carthage, NY 13619-1252
Mailing address
117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-1052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00583697 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3005691 | NY | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- tina.oneill.p2@direct.usppny.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1780723007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N MECHANIC ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191252",
"telephone_number": "315-493-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N MECHANIC ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191252",
"telephone_number": "315-493-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "TINA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F3005691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00583697",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.