Individual provider Active NPI

Tonya A Linthacum, APRN,BC,FNP

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1972636686
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
128494 Issued in MO
Practice address
1701 E Broadway Ste 302
Columbia, MO 65201-8018
Phone
(573) 815-8277
Fax
(573) 815-8278
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 128494 MO Primary

Addresses

Primary practice location

1701 E Broadway Ste 302
Columbia, MO 65201-8018

Mailing address

1400 War Admiral Dr
Columbia, MO 65202-4857
Phone (573) 875-5115

Other identifiers 1

IdentifierTypeStateIssuer
128494OtherMORN LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000532 MO Practitioner - Nurse Practitioner 4789852229 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
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1601 E Broadway
Suite 240
Columbia, MO 65201-8022
Phone (573) 815-8145

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128494MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Aug 29, 2022 Accepting new patients

Locations

1601 E Broadway
Ste 240
Columbia, MO 65201
Phone (573) 815-8145

1701 E Broadway
Ste 302
Columbia, MO 65201
Phone (573) 815-7146

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

600 Medical Park Dr
Mexico, MO 65265
Phone (573) 581-7447

Interoperability endpoints

  • Direct secure messaging: tonyalinthacum@mhccaremail.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1972636686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WAR ADMIRAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652024857",
            "telephone_number": "573-875-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY STE 302",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018018",
            "telephone_number": "573-815-8277",
            "fax_number": "573-815-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTHACUM",
        "first_name": "TONYA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "128494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LISCENSE",
            "identifier": "128494",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.