Alicia Johnson Thomas, MSN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

55482 Issued in SC

Practice address

2215 W Palmetto St Ste F
Florence, SC 29501-3971

Phone

(843) 407-4046

Fax

(843) 407-4046

NPI assigned

Oct 18, 2021

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

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Divyne Companion Care

  • Administrator Registered Nurse
  • Florence, SC
  • NPI 1861142846
  NPD Authorized official
• Divyne Transportation Services, LLC

  • Administrator Registered Nurse
  • Florence, SC
  • NPI 1114677101
  NPD Authorized official
• Johnson-Thomas Medical Training Center, LLC

  • Administrator Registered Nurse
  • Florence, SC
  • NPI 1134879133
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1043973977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 SOUTHBOROUGH RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015822",
            "telephone_number": "843-319-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W PALMETTO ST STE F",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013971",
            "telephone_number": "843-407-4046",
            "fax_number": "843-407-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALICIA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "SC",
            "license": "55482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Medical Training Institute Inc.
• The Pharmacy
• The Sonshine Exchange Counseling Center
• The Ta Network, LLC
• Camille Thoma, LPC
• Andrea Carrieri Thomas, DMD
• Blair Thomas
• Devonte Thomas
• Dynesha Thomas
• Edwin Thomas

• Administrator Registered Nurse in Florence, SC
• Providers in Florence, SC by specialty
• Administrator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.