Tri-County Community Clinic, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TRI-COUNTY COMMUNITY CLINIC, LLC

Practice address

1226 Linn St Ste F
Sikeston, MO 63801-5202

Phone

(573) 391-8031

Fax

(573) 391-8050

NPI assigned

Jan 26, 2020

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ladonna Jean Williams, DNP, PMHNP-BC, FNP-CNPI 1861826968

Title

Owner

Phone

(573) 521-8530

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ladonna Jean Williams, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sikeston, MO
  • NPI 1861826968

  Family, FL

  Medicare reassignment Care Compare group NPD Authorized official
• Miranda Kaylen Foshee, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sikeston, MO
  • NPI 1821802489
  Medicare reassignment Care Compare group NPD
• Tammi Jo Martinez, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • Portageville, MO
  • NPI 1376977488
  Medicare reassignment Care Compare group NPD
• Bridgette Jean Fielder, LPC

  • Professional Counselor
  • Osceola, AR
  • NPI 1083873012

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1811527138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 LINN ST STE F",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015202",
            "telephone_number": "573-391-8031",
            "fax_number": "573-391-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 LINN ST STE F",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015202",
            "telephone_number": "573-391-8031",
            "fax_number": "573-391-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-26",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LADONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-521-8530",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861826968",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Renea Toon
• Emily N Toothman, OTR/L
• Total Renal Care Inc (Sikeston Jaycee Regional Dialysis)
• Amber Dawn Towe, PMHNP
• Brittney Nicole Trankler, MA CCC-SLP
• Mark L Trulsson, DDS
• Thomas M Tullis, R.PH.
• Julie Elizabeth Twidwell, PHD, PMHNP
• Lou Oliver Underwood, RD LD
• Unity Transitional Care of TX PLLC

• Psychiatric/Mental Health Nurse Practitioner in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.