Individual provider Active NPI

Kamishia Latasha Thomas, ANP-C

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1003241308
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R237951 Issued in MD
Practice address
601 N Caroline Street
Baltimore, MD 21264-3490
Phone
(443) 997-0270
Fax
(410) 614-1168
NPI assigned
Sep 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LP-0010630 DE
Adult Health Nurse Practitioner 363LA2200X R237951 MD Primary

Addresses

Primary practice location

601 N Caroline Street
Baltimore, MD 21264-3490

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423

Other practice location 1

200 Banning St Ste 340
Dover, DE 19904-3490
Phone (302) 734-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170518001429 MD Practitioner - Nurse Practitioner 7113241571 Reassigns benefits to 3 organizations
I20170518002017 DC Practitioner - Nurse Practitioner 7113241571 Reassigns benefits to 1 organization
I20230505001183 DE Practitioner - Nurse Practitioner 7113241571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

3407 Wilkens Ave
300 Maryland Cardiovascular Specialists
Baltimore, MD 21229-5072
Phone (410) 644-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R237951MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince May 15, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jun 5, 2021 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince May 15, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Johns Hopkins University CurrentSince Nov 13, 2023 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
Johns Hopkins University CurrentSince Nov 13, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
St Agnes Healthcare Inc Nurse Practitioner CurrentSince Jun 5, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 15, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

200 Banning St
Ste 340
Dover, DE 19904
Phone (302) 734-1414

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

315 N Carter Rd
Smyrna, DE 19977
Phone (302) 355-2383

2000 Medical Pkwy
Ste 510
Annapolis, MD 21401
Phone (443) 481-4600

201 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (443) 481-6549

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

600 N Wolfe St
Baltimore, MD 21287

3407 Wilkens Ave
Ste 300
Baltimore, MD 21229
Phone (410) 644-5111

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

9135 Piscataway Rd
Ste 210
Clinton, MD 20735
Phone (301) 645-4793

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGHHAA/Endpoint/DGHHAA
  • Direct secure messaging: kthomas1162596@direct.hopkinsmedicine.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1003241308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212643490",
            "telephone_number": "443-997-0270",
            "fax_number": "410-614-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Banning St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043490",
            "country_code": "US",
            "telephone_number": "302-734-1414",
            "fax_number": "302-734-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KAMISHIA",
        "middle_name": "LATASHA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010630",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R237951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.