James Eric Thacker, RNFA
Individual provider Active NPI Registered Nurse First Assistant · Barnhart, MO
NPI 1154106938 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1154106938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 2008029501 (MO)
- Practice address
- 2796 Kings Crossing Dr
Barnhart, MO 63012-1174 - Phone
- (214) 227-2457
- NPI assigned
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008029501 | MO | MD | Registered Nurse First Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutting Edge Surgical Services, LLC | Current |
Accepting new patients | |
| Cutting Edge Surgical Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 2008029501 | MO | Yes |
Addresses
Primary practice location
2796 Kings Crossing Dr
Barnhart, MO 63012-1174
Mailing address
2796 Kings Crossing Dr
Barnhart, MO 63012-1174
Phone (214) 227-2457
Other providers in Barnhart, MO
- Kayley Darlene Smith
- Jeff Snellen II
- St. Louis Senior Rehabilitation
- Angela Ruth Stork
- Ashley Nicole Sutherland
- Julie Varady
- Vitality ABA
- Walgreen Co
- Tamra Wallace
- Gerald Weisbrod
All providers in Barnhart, MO · Registered Nurse First Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.