Active NPI
Kayotris Tijuan Thomas
- In Home Supportive Care Agency
- Quincy, FL
National Provider Identifier
1023580248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 80 Makayla LN
Quincy, FL 32352-3200 - Phone
- (850) 567-8928
- NPI assigned
- Dec 28, 2018
- Last updated
- Dec 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | FL | Primary |
Addresses
Primary practice location
80 Makayla LN
Quincy, FL 32352-3200
Mailing address
80 Makayla LN
Quincy, FL 32352-3200
Phone (850) 567-8928
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1023580248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MAKAYLA LN",
"city": "QUINCY",
"state": "FL",
"postal_code": "323523200",
"telephone_number": "850-567-8928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAKAYLA LN",
"city": "QUINCY",
"state": "FL",
"postal_code": "323523200",
"telephone_number": "850-567-8928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KAYOTRIS",
"middle_name": "TIJUAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, FL
- Tallahassee Memorial Healthcare Inc.
- Tamara Burkhead D.C. LLC (Wellspring Chiropractic Clinic)
- Kristi Taylor, NP-C
- Julia Templeton
- The Center for Health Equity, Inc. (Triumph Behavioral Healthcare)
- Marcelete Latanya Thompson Young, MSN, APRN, AGPCNP-C
- Brenda Thompson
- E'Kara Thornton
- Toi Chelese Tindall, R.N.
- Brittany S Toombs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.