Individual provider Active NPI

Thea Floyd

  • Family Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1073054953
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020999 Issued in OH
Practice address
411 Court St
Portsmouth, OH 45662-3932
Phone
(740) 354-3829
Fax
(740) 353-3083
NPI assigned
Mar 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020999 OH Primary
Registered Nurse 163W00000X RN.309922 OH

Addresses

Primary practice location

411 Court St
Portsmouth, OH 45662-3932

Mailing address

923 Findlay St
Portsmouth, OH 45662-4148
Phone (614) 395-0136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20180918004025 OH Practitioner - Nurse Practitioner 1951652718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Compass Community HealthGroup PAC ID 1759516693, 6 clinicians

Practice addresses (Care Compare)

1634 11TH St
Portsmouth, OH 45662-4526
Phone (740) 355-7102

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008
  • Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Arts

State licenses

LicenseStateTypeSpecialty
RN.309922OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Community Health CurrentSince Jul 23, 2018 Accepting new patients
Compass Community Health CurrentSince Jul 23, 2018 Accepting new patients
Compass Community Health Past Accepting new patients

Locations

1634 11th St
Portsmouth, OH 45662
Phone (740) 355-7102

1656 Coles Blvd
#A
Portsmouth, OH 45662
Phone (740) 355-7102

923 Findlay St
Portsmouth, OH 45662
Phone 7403543829 ext. 242

Interoperability endpoints

  • Direct secure messaging: thea.floyd.p1@direct.compass-share.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1073054953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 FINDLAY ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624148",
            "telephone_number": "614-395-0136",
            "fax_number": "740-353-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 COURT ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623932",
            "telephone_number": "740-354-3829",
            "fax_number": "740-353-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "THEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020999",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.309922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.