Active NPI
Tonjia N. Kyles, RN
- Medical-Surgical Registered Nurse
- Cleveland, OH
National Provider Identifier
1861696668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 286855
- Practice address
- 13119 Southview Ave
Upstairs
Cleveland, OH 44120-4639 - Phone
- (216) 751-3421
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 286855 | OH | Primary |
Addresses
Primary practice location
13119 Southview Ave
Upstairs
Cleveland, OH 44120-4639
Mailing address
13119 Southview Ave
Upstairs
Cleveland, OH 44120-4639
Phone (216) 751-3421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2408139 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286855 | OH | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861696668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13119 SOUTHVIEW AVE",
"address_2": "UPSTAIRS",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441204639",
"telephone_number": "216-751-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13119 SOUTHVIEW AVE",
"address_2": "UPSTAIRS",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441204639",
"telephone_number": "216-751-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLES",
"first_name": "TONJIA",
"middle_name": "N.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "OH",
"license": "286855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2408139",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.