NPIMap

Individual provider Active NPI

Tonya Wooton, APRN

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1932140878
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3003561 Issued in KY
Practice address
141 Parkway Drive
Bardstown, KY 40004-3220
Phone
(502) 348-4757
Fax
(502) 348-4757
NPI assigned
Jun 10, 2006
Last updated
Sep 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3003561 KY Primary

Addresses

Primary practice location

141 Parkway Drive
Bardstown, KY 40004-3220

Mailing address

141 Parkway Drive
Bardstown, KY 40004-3220
Phone (502) 348-4757

Other identifiers 1

IdentifierTypeStateIssuer
7100476020MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001208 KY Practitioner - Nurse Practitioner 6002883758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3003561KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dixie Infusion Clinic, LLC CurrentSince Feb 2, 2022 Accepting new patients
Dixie Infusion Clinic, LLC Current Accepting new patients
Nephrology Associates of Kentuckiana PSC CurrentSince May 20, 2023 Accepting new patients
Dixie Infusion Clinic, LLC CurrentSince Feb 2, 2022 Accepting new patients
McCoy Primary Care LLC Family PastSince May 29, 2019 Accepting new patients
Regional Brain & Spine LLC Past Accepting new patients

Locations

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

650 W Lincoln Trail Blvd
Ste 102
Radcliff, KY 40160
Phone (270) 506-2463

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23947/brand/1/csg/1/fhir/r4
  • Direct secure messaging: twooton49431@direct.acumenmd.com

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.

Hospital & facility affiliations 9

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1932140878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DRIVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PARKWAY DRIVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400043220",
            "telephone_number": "502-348-4757",
            "fax_number": "502-348-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTON",
        "first_name": "TONYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3003561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100476020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.