Provider Demographics
NPI:1245107259
Name:ESSICK, TONYA CHARISE
Entity type:Individual
Prefix:
First Name:TONYA
Middle Name:CHARISE
Last Name:ESSICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 S MAIN ST APT 912
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1323
Mailing Address - Country:US
Mailing Address - Phone:330-813-9685
Mailing Address - Fax:
Practice Address - Street 1:159 S MAIN ST APT 912
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1323
Practice Address - Country:US
Practice Address - Phone:330-813-9685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRF365676172A00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No172A00000XOther Service ProvidersDriver