Individual provider Active NPI

Shadonna Thomas, RN

  • General Practice Registered Nurse
  • Kansas City, MO
National Provider Identifier
1144840729
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
2019012759 Issued in MO
Practice address
800 E 101St Ter Ste 350
Kansas City, MO 64131-5310
Phone
(904) 521-0088
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 2019012759 MO Primary

Addresses

Primary practice location

800 E 101St Ter Ste 350
Kansas City, MO 64131-5310

Mailing address

8846 Crescent Ave
Kansas City, MO 64138-4714
Phone (904) 521-0088

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2019012759MOMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Life in Home Services CurrentSince Mar 7, 2021 Accepting new patients

Locations

800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1144840729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8846 CRESCENT AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641384714",
            "telephone_number": "904-521-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 101ST TER STE 350",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641315310",
            "telephone_number": "904-521-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHADONNA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2019012759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.