Active NPI
Trista Lee Thomas, CST
- Surgical Technologist
- Evansville, IN
National Provider Identifier
1164624664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 066064
- Practice address
- 4501 Upper Mount Vernon Rd
Evansville, IN 47712-6421 - Phone
- (812) 421-8555
- Fax
- (812) 402-2139
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 066064 | IN | Primary |
Addresses
Primary practice location
4501 Upper Mount Vernon Rd
Evansville, IN 47712-6421
Mailing address
3328 Kuebler Rd
Evansville, IN 47720-7412
Phone (812) 963-8335
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066064 | IN | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164624664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 KUEBLER RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477207412",
"telephone_number": "812-963-8335",
"fax_number": "812-402-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 UPPER MOUNT VERNON RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477126421",
"telephone_number": "812-421-8555",
"fax_number": "812-402-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TRISTA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IN",
"license": "066064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.