Jimmy Thomas

Primary specialty

Epilepsy PhysicianTaxonomy code 2084E0001X

License

732830987 Issued in VT

Practice address

1410 13TH Ave E
West Fargo, ND 58078-3444

Phone

(701) 492-0555

NPI assigned

Dec 27, 2021

Sex

Male

Sole proprietor

Yes

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

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.

• Jatticorporation

  • Clinic Pharmacy
  • Fargo, ND
  • NPI 1992465306
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1114687522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032119",
            "telephone_number": "800-633-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783444",
            "telephone_number": "701-492-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JIMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "VT",
            "license": "732830987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Prescription Shop Inc
• The Resilient Athlete Center
• The Resilient Athlete Center
• Rachel Thiel, LPCC
• Hannah Thingelstad
• Sahr Thomas
• Brittany Thompson
• Ellie Thorton
• Kaylee Marie Tipple
• Bhakta BDR Tiwari

• Epilepsy Physician in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Epilepsy Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.