Individual provider Active NPI

Judy Marie Tonry, APRN,BC

  • Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1881855450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209003244 Issued in IL
Practice address
1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Phone
(217) 787-8870
Fax
(217) 787-6158
NPI assigned
Jun 17, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209003244 IL Primary

Addresses

Primary practice location

1118 W Legacy Pointe Dr
Springfield, IL 62711-6444

Mailing address

1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Phone (217) 787-8870

Other practice location 1

1101 W College Ave
Jacksonville, IL 62650-2212
Phone (217) 245-3038

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

State licenses

LicenseStateTypeSpecialty
209003244ILMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881855450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W LEGACY POINTE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116444",
            "telephone_number": "217-787-8870",
            "fax_number": "217-787-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 W LEGACY POINTE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116444",
            "telephone_number": "217-787-8870",
            "fax_number": "217-787-6158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626502212",
            "country_code": "US",
            "telephone_number": "217-245-3038",
            "fax_number": "217-245-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONRY",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209003244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.