Kelly Renee Thomas, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704263759 Issued in MI

Practice address

1921 E Miller Rd
Lansing, MI 48911-5348

Phone

(517) 319-0700

NPI assigned

Jan 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4
• Direct secure messaging: kelly.thomas@1098941711515652.direct.elationemr.com

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.

• Homeward Physicians , PLLC

  • General Practice Physician
  • Marquette, MI
  • NPI 1538828314
  Medicare reassignment NPD
• Onsight, Inc.

  • Dentist
  • East Lansing, MI
  • NPI 1730339474
  NPD (past)
• Voans Senior Community Care of Michigan Inc.

  • Health Maintenance Organization
  • Lansing, MI
  • NPI 1689079519
  NPD (past)

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1053900696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 E MILLER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115348",
            "telephone_number": "517-319-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 E MILLER RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115348",
            "telephone_number": "517-319-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704263759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "4704263759",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deona Thomas
• Dominique Thomas
• Hilton Tellis Thomas, PHD
• Juliette Thomas
• Katherine Thomas
• Lashunda Thomas, LLMSW
• Mary Helen Thomas, LMSW
• Ryan Gregory Thomas, M.D.
• Suma Thomas, D.O.
• Yalonda Lynnette Thomas

• Family Nurse Practitioner in Lansing, MI
• Providers in Lansing, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.