Individual provider Active NPI

Tonya Lynn Damore I

  • Registered Nurse
  • Rome, NY
National Provider Identifier
1952949596
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
776188 Issued in NY
Practice address
409 Bell Rd S
Rome, NY 13440-3864
Phone
(315) 338-5374
Fax
(315) 334-7528
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 776188 NY Primary

Addresses

Primary practice location

409 Bell Rd S
Rome, NY 13440-3864

Mailing address

409 Bell Rd S
Rome, NY 13440-5298
Phone (315) 338-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Rome

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

State licenses

LicenseStateTypeSpecialty
776188NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1952949596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BELL RD S",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405298",
            "telephone_number": "315-338-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BELL RD S",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134403864",
            "telephone_number": "315-338-5374",
            "fax_number": "315-334-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMORE",
        "first_name": "TONYA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "776188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rome",
            "affiliation": "N",
            "address_1": "409 Bell Rd S",
            "city": "Rome",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134403864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.