Jessica Thomas, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6026 Issued in NC

Practice address

4501 Main St
Suite 5
Shallotte, NC 28470-4589

Phone

(910) 612-1002

Fax

(910) 755-5864

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Speech Therapy Services PLLCGroup PAC ID 4183891633, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Thomas Speech Therapy Services PLLC

  • Speech-Language Pathologist
  • Supply, NC
  • NPI 1871860544
  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Rehabilitation Inc

  • Physical Therapist
  • Supply, NC
  • NPI 1427142561
  NPD (past)

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1073801098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 WOODBRIDGE LN SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228969",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MAIN ST",
            "address_2": "SUITE 5",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704589",
            "telephone_number": "910-612-1002",
            "fax_number": "910-755-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6026",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hope & Healing Center Inc.
• Thomas Drugs Inc
• Thomas Drugs Inc
• Thomas Drugs, Inc
• Evelyn Margaret Thomas, LCAS-A
• Angela Renee Thompson, MD
• Lisa Thompson, BA, CADC-R
• Christopher Thorpe, LCSW
• Devin Nicole Tilley, LCSW-A
• Total Renal Care of North Carolina LLC

• Speech-Language Pathologist in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.