Active NPI
Cherie Lee Thomas, DC
- Chiropractor
- Lock Haven, PA
National Provider Identifier
1003808577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003422L
- Practice address
- 2859 Woodward Ave
Lock Haven, PA 17745-8547 - Phone
- (570) 753-8311
- NPI assigned
- Aug 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003422L | PA | Primary |
| Specialist | 174400000X | AJ003422L | PA |
Addresses
Primary practice location
2859 Woodward Ave
Lock Haven, PA 17745-8547
Mailing address
PO Box 276
Avis, PA 17721-0276
Phone (570) 753-8311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010848830001 | Medicaid | PA | |
| 808657 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AJ003422L | PA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1003808577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276",
"city": "AVIS",
"state": "PA",
"postal_code": "177210276",
"telephone_number": "570-753-8311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2859 WOODWARD AVE",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177458547",
"telephone_number": "570-753-8311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CHERIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-19",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003422L",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "AJ003422L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010848830001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "808657",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.