MISS PRISCILLA ANTONETTE TOLBERT
NPI 1205104353
Nurse Practitioner - Psychiatric/Mental Health in Fort Leonard Wood, MO

Active since December 05, 2011
4234 ILLINOIS AVENUE, FORT LEONARD WOOD, MO 65473(573) 596-0522(573) 596-5334 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Feb 20, 2025, Oct 17, 2019 (3 updates tracked since 2019).

About Miss Priscilla Antonette Tolbert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS PRISCILLA ANTONETTE TOLBERT (NPI 1205104353) is an individual psychiatric/mental health provider in Fort Leonard Wood, Missouri, licensed in Ohio (2017025995) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1205104353
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS PRISCILLA ANTONETTE TOLBERT
Location Address4234 ILLINOIS AVENUEFort Leonard Wood, MO 65473-9098
Mailing Address4234 Illinois AvenueFort Leonard Wood, MO 65473-9098 · (573) 596-0522 · Fax (573) 596-5334
Fax(573) 596-5334
Sole ProprietorYes
Enumeration DateDecember 5, 2011
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1205104353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · 2017025995
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 6482098-4405 (UT)
4234 ILLINOIS AVENUE, Fort Leonard Wood, MO 65473

Other Names 1

Former Name (1)Miss Priscilla Antonette Mahadevan Apnp

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4234 ILLINOIS AVENUE
FORT LEONARD WOOD, MO 65473
Physical Therapist
4234 ILLINOIS AVENUE
FORT LEONARD WOOD, MO 65473

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Priscilla Tolbert's NPI number?

The NPI number for Priscilla Tolbert is 1205104353. It was assigned to this individual provider in the NPPES registry on December 5, 2011. The provider is also known as Miss Priscilla Antonette Mahadevan Apnp.

Where is Priscilla Tolbert located?

Priscilla Tolbert practices at 4234 Illinois Avenue, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0522.

What is Priscilla Tolbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Priscilla Tolbert accept?

Health plans from Select Health list Priscilla Tolbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Priscilla Tolbert was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.