Wendi Diane Thomas, R.N.

Primary specialty

Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X

License

503474 Issued in CA

Practice address

361 Third Street
Suite E
San Rafael, CA 94901

Phone

(415) 507-4030

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• County of Marin

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1912116252
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023132032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WOODSIDE CIRCLE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94595",
            "telephone_number": "707-778-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 THIRD STREET",
            "address_2": "SUITE E",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-507-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WENDI",
        "middle_name": "DIANE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "503474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Marriage Enrichment Ctr
• Susan Anne Theobald, LCSW
• Susan Jane Thomas-Sampson, M.A.
• Nakeisha Thomas
• Tajii Thomas
• Dara Faith Thompson, N.D.
• Dean J Thompson, D.C.
• Emily Anne Thompson
• Annette S Thorn, MD MPH
• Deirdre Thorne-Hadfield, W.H.N.P. M.S. R.N.

• Ambulatory Women's Health Care Registered Nurse in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Ambulatory Women's Health Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.