Provider Demographics
NPI:1699750208
Name:TONEY, LINNIE MARIE (CFNP)
Entity type:Individual
Prefix:MS
First Name:LINNIE
Middle Name:MARIE
Last Name:TONEY
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MEGAN BAY CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1437
Mailing Address - Country:US
Mailing Address - Phone:859-333-4986
Mailing Address - Fax:
Practice Address - Street 1:1101 VETERANS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2235
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-288-2468
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY480-P363L00000X
KY480P363LF0000X
KY3000480363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
500009239OtherRR MDCR PROV
KY78002581Medicaid
500009239OtherRR MDCR PROV
S92384Medicare UPIN