Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANYISKA FONDA NP-C
NPI 1528415478
Nurse Practitioner in Dothan, AL

Q: What is Tanyiska Fonda's NPI number?

The NPI number for Tanyiska Fonda is 1528415478. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Q: What is Tanyiska Fonda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanyiska Fonda was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.

Active since May 20, 2016PECOS Enrolled

3144 ROSS CLARK CIR, DOTHAN, AL 36303(334) 678-9123(334) 678-9124 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, May 9, 2017, May 20, 2016 (3 updates tracked since 2016).

On this page

About Tanyiska Fonda Np-c NPPES

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

TANYISKA FONDA NP-C (NPI 1528415478) is an individual nurse practitioner in Dothan, Alabama, licensed in Alabama (1-104056) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528415478

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTANYISKA FONDACredential: NP-C

Location Address3144 ROSS CLARK CIRDothan, AL 36303-3038

Mailing Address4370 W Main StDothan, AL 36305-1056 · (334) 794-5000

Phone(334) 678-9123

Fax(334) 678-9124

Sole ProprietorNo

Enumeration DateMay 20, 2016

Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1528415478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-104056

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3144 ROSS CLARK CIR, Dothan, AL 36303

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Secondary Practice Locations 2

Location 110175 Little Patuxent PkwyColumbia, MD 21044-2602 · Phone (334) 200-5917

Location 21501 Biscayne BlvdMiami, FL 33132-1449 · Phone (877) 870-0323 · Fax (866) 427-3798

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanyiska Fonda Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SASSER HEALTH LLC

General Practice