Taylor Lea Thomas, CBHCMS 100732

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

2601 Willow Cir
Lake Wales, FL 33898-7029

Phone

(863) 254-8665

NPI assigned

Jan 6, 2021

Last updated

Feb 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1164010930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WILLOW CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987029",
            "telephone_number": "863-254-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WILLOW CIR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987029",
            "telephone_number": "863-254-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TAYLOR",
        "middle_name": "LEA",
        "credential": "CBHCMS 100732",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2601 Willow Cir",
            "city": "Lake Wales",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338987029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Morgan Thomas, MS, CCC-SLP
• Felicia Thomas
• Jasmine Monique Thomas, OT
• Panchami Thomas, APRN
• Rebecca I Thomas, PTA
• Ally G Thompson
• Ila Karen Thompson
• Katrina Thompson
• La'Tricia Thompson
• Stephanie Ann Tillman, LCSW

• Case Management Agency in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.