Active NPI
Kaidra Quantai Thonpkins
- Child Intellectual and/or Developmental Disabilities Respite Care
- Hawthonre, FL
National Provider Identifier
1114581907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- License
- L19000048624
- Practice address
- 118 Thistle TRL
Hawthonre, FL 32604 - Phone
- (352) 301-1271
- NPI assigned
- Apr 26, 2019
- Last updated
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | L19000048624 | FL | Primary |
Addresses
Primary practice location
118 Thistle TRL
Hawthonre, FL 32604
Mailing address
118 Thistle TRL
Hawthorne, FL 32640-5810
Phone (352) 301-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L19000048624 | FL | MD | Child Intellectual and/or Developmental Disabilities Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1114581907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 THISTLE TRL",
"city": "HAWTHORNE",
"state": "FL",
"postal_code": "326405810",
"telephone_number": "352-301-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 THISTLE TRL",
"city": "HAWTHONRE",
"state": "FL",
"postal_code": "32604",
"telephone_number": "352-301-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THONPKINS",
"first_name": "KAIDRA",
"middle_name": "QUANTAI",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "FL",
"license": "L19000048624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.