Jennifer Thomas, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP06790 Issued in LA

Practice address

201 Saint Ann Dr
Suite B
Mandeville, LA 70471-3219

Phone

(985) 626-1717

Fax

(985) 674-2814

NPI assigned

Mar 30, 2012

Last updated

Aug 12, 2016By the provider in NPPES

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 LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Medical Services Cov LLC

  • General Practice Physician
  • Covington, LA
  • NPI 1568743375

  Nurse Practitioner

  Medicare reassignment NPD
• Integrated Medical Services Ham, LLC

  dba Aamc

  • General Practice Physician
  • Hammond, LA
  • NPI 1619242575

  Nurse Practitioner

  Medicare reassignment NPD
• St Tammany Parish Hospital Service District No 1

  dba St Tammany Physicians Network

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  Medicare reassignment NPD
• St. Tammany Parish Hospital Service District No 1

  dba St. Tammany Parish Hospital

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Medicare reassignment NPD
• Truhealth, LLC

  • Nurse Practitioner
  • Parsons, TN
  • NPI 1063843951

  LA

  Medicare reassignment

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1063788321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54482",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544482",
            "telephone_number": "985-626-1717",
            "fax_number": "985-674-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT ANN DR",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713219",
            "telephone_number": "985-626-1717",
            "fax_number": "985-674-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Harrell Thibodaux
• Morgan Lee Thiel
• Thomas Nicotri Jr MD LLC
• Contrina Thomas, M.ED.
• Elvira Thomas, RN
• Karen Faye Thomas, PERSONAL CARE TECH
• Margaret Love Thomason, PT, DPT
• Deborah B. Thompson, RPH
• Keiona Monae Thompson
• Robert Briggs Thomson Sr., DC

• Nurse Practitioner in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.