Provider Demographics
NPI:1326457136
Name:O'NEAL, TONYA ELIZABETH
Entity type:Individual
Prefix:MS
First Name:TONYA
Middle Name:ELIZABETH
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TONYA
Other - Middle Name:ELIZABETH
Other - Last Name:HOLLOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 Q ST NE APT 1313
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2380
Mailing Address - Country:US
Mailing Address - Phone:202-940-0338
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1849
Practice Address - Country:US
Practice Address - Phone:202-506-5187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-06
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator