Active NPI
Tonya Scott, NP
- Gerontology Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704205624
- Practice address
- 21415 Civic Center Dr
#355
Southfield, MI 48076-3909 - Phone
- (248) 353-6200
- Fax
- (248) 353-7366
- NPI assigned
- Mar 23, 2017
- Last updated
- May 9, 2017
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704205624 | MI | Primary |
Addresses
Primary practice location
21415 Civic Center Dr
#355
Southfield, MI 48076-3909
Mailing address
20415 Civic Center Dr
Suit# 355
Southfield, MI 48076
Phone (248) 353-6200
Other names 1
- Tonya Stanley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Robyn L. Dragoo, OD PC | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Integrated Physician Solutions PC | Past | Accepting new patients |
Locations
2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 355-4719
4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1295316602
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- Home Health Agency
- Southfield, MI
- NPI 1992110662
-
- Optometrist
- Novi, MI
- NPI 1447482369
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1801327507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20415 CIVIC CENTER DR",
"address_2": "SUIT# 355",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48076",
"telephone_number": "248-353-6200",
"fax_number": "248-353-7366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21415 CIVIC CENTER DR",
"address_2": "#355",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480763909",
"telephone_number": "248-353-6200",
"fax_number": "248-353-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TONYA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704205624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "STANLEY",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.