Kelly Thomas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP036941 Issued in AZ

Practice address

2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613

Phone

(520) 538-0393

NPI assigned

Oct 18, 2016

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

State licenses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1033660733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 S SANTA AURELIA AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856509366",
            "telephone_number": "520-249-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-538-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP036941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Staggs, FNP
• Daniel Paul Stokes, PA
• Blake Charles Stuart, D.D.S
• Christopher N. Sullins, LCSW
• Idal Roscin Tchoundjo, DNP ,FNP, CRNP
• Debra A Thornby
• Rachel Tripp
• David W Trull, OD
• Stephanie Tyson
• USA Meddac, Rwbach

• Licensed Practical Nurse in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.