Leilani Blackwell Thornton, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

68617 Issued in SC

Practice address

149 Twin Lake Rd
Gaffney, SC 29341-2538

Phone

(864) 206-2000

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Cherokee Co. Schools

  • Local Education Agency (LEA)
  • Gaffney, SC
  • NPI 1851704373
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1114575339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TWIN LAKE RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412526",
            "telephone_number": "864-206-2000",
            "fax_number": "864-902-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 TWIN LAKE RD",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412538",
            "telephone_number": "864-206-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "LEILANI",
        "middle_name": "BLACKWELL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "68617",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "61617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68617",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Knight Tatham, APRN
• Megan Coggins Taylor, RN
• Joy Collins Thayer, RN
• Thi of South Carolina Hospice, LLC (Bons Secours Hospice by Compassus - Gaffney)
• Dakota William Thompson, DO
• Katie Leigh Thrift, NP
• Together We Stand
• Total Care Home Health of North Carolina, LLC (CenterWell Home Health)
• Tranquil Solutions
• Transhealth Inc.

• School Registered Nurse in Gaffney, SC
• Providers in Gaffney, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.