Individual provider Active NPI

Tonya Faun Macdonald, FNP

  • Family Nurse Practitioner
  • Chester, CA
National Provider Identifier
1982993945
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19769 Issued in CA
Practice address
199 Reynolds Rd.
Chester, CA 96020
Phone
(530) 258-2134
NPI assigned
Mar 30, 2011
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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 19769 CA Primary

Addresses

Primary practice location

199 Reynolds Rd.
Chester, CA 96020

Mailing address

PO Box 1460
Chester, CA 96020-1460
Phone (530) 258-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161020001689 WA Practitioner - Nurse Practitioner 9234353160 Reassigns benefits to 1 organization
I20230325000140 TX Practitioner - Nurse Practitioner 9234353160 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19769CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 3, 2016 Accepting new patients
Citra Physician Services PLLC CurrentSince Dec 13, 2022 Accepting new patients
Multicare Health System CurrentSince Oct 3, 2016 Accepting new patients
Summit Emergency Medicine, PLLC Current Accepting new patients
Multicare Health System Current Accepting new patients
Citra Physician Services PLLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

606 Grapevine Hwy
Ste B
Hurst, TX 76054
Phone (682) 477-3087

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

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.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1982993945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "960201460",
            "telephone_number": "530-258-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REYNOLDS RD.",
            "city": "CHESTER",
            "state": "CA",
            "postal_code": "96020",
            "telephone_number": "530-258-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "TONYA",
        "middle_name": "FAUN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, CA

Sources for this page

Verify at the official NPI Registry.