Kathleen S Thomas, PHD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

012002507 Issued in VA

Practice address

700 Park Avenue BRC-110
Norfolk, VA 23504

Phone

(823) 823-8652

NPI assigned

Apr 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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": "1114581931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 CHEYNE WALK",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541103",
            "telephone_number": "757-496-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK AVENUE BRC-110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23504",
            "telephone_number": "823-823-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "012002507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika A Thomas
• Holly Thomas
• Jessica Austin Thomas, LPC
• Julian M. Thomas, M.D.
• Kasyida Thomas, LPC
• Lisa Thomas, MS, LPC, ATR-BC
• Melissa Titus Thomas, CRNA MN
• Nicholas Marvin Thomas, DO
• Pottayil Varkey Thomas, M. D.
• Scott David Thomas, DDS

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• 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.

Verify at the official NPI Registry.