Samuel Thomas

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

9641927 Issued in FL

Practice address

2150 Spencer Rd Apt 25a
Orange Park, FL 32073-4238

Phone

(904) 891-8410

NPI assigned

Jun 24, 2024

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2024.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1083458012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SPENCER RD APT 25A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SPENCER RD APT 25A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734238",
            "telephone_number": "904-891-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "9641927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Thomas
• Denise Rashay Thomas
• Kaori Thomas, LMHC
• Mitchell Thomas, DO
• Rebecca J Thomas, DO
• Terrainie L Thomas, CERTIFIED DOULA
• Lyndsey Melisa Thompson
• Monique Thompson, PHARMD
• Yvette L Thompson, DPM
• Nicholas Thoreson

• All providers in Orange Park, FL
• Medical-Surgical Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.