Individual provider Active NPI

Tonia P. Boddie, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1871996736
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404567 Issued in NY
Practice address
1 Clubhouse Ave SW
Huntsville, AL 35802-5015
Phone
(256) 261-1600
Fax
(256) 883-9338
NPI assigned
Oct 6, 2014
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-076337 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404567 NY Primary

Addresses

Primary practice location

1 Clubhouse Ave SW
Huntsville, AL 35802-5015

Mailing address

PO Box 2024
Madison, AL 35758-5414
Phone (256) 710-6607

Other practice location 1

7519 Wall Triana Hwy
Madison, AL 35757-8327
Phone (256) 696-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150714000615 AL Practitioner - Nurse Practitioner 9537249453 Reassigns benefits to 2 organizations
I20221221000797 NY Practitioner - Nurse Practitioner 9537249453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Medical Practice PCGroup PAC ID 0042687006, 33 clinicians
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

1 Clubhouse Ave SW
Huntsville, AL 35802-5015
Phone (256) 261-1600

1256 E 31St St
Brooklyn, NY 11210-4741
Phone (718) 534-0689

17 Madison St
Granville, NY 12832-1221
Phone (518) 642-2710

19544 Woodhull Ave
Hollis, NY 11423-2982
Phone (212) 734-6621

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-076337ALMDFamily Nurse Practitioner
404567NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Patient First Medical Practice PC CurrentSince Sep 27, 2023 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Acts Retirement-Life Communities, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Medical Director Services PC CurrentSince Sep 12, 2022 Accepting new patients
Acts Signature Community Services, Inc. CurrentSince Apr 11, 2017 Accepting new patients

Locations

1 Clubhouse Ave SW
Huntsville, AL 35802
Phone (256) 261-1600

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

420 Delaware Dr
Ft Washington, PA 19034
Phone (215) 661-8330

Interoperability endpoints

  • Direct secure messaging: tonia.butler.p1@direct.actslife.nextgenshare.com

Organizations & group practices 7

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.

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": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1871996736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585414",
            "telephone_number": "256-710-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLUBHOUSE AVE SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358025015",
            "telephone_number": "256-261-1600",
            "fax_number": "256-883-9338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7519 Wall Triana Hwy",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357578327",
            "country_code": "US",
            "telephone_number": "256-696-5895",
            "fax_number": "256-696-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODDIE",
        "first_name": "TONIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-076337",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.