Shavone Thomas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

4955 S Durango Dr Ste 124
Las Vegas, NV 89113-1054

Phone

(702) 871-2273

NPI assigned

May 8, 2019

Reactivated

Sep 7, 2022

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1174188775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SIMMONS ST APT 2127",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061560",
            "telephone_number": "702-712-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR STE 124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131054",
            "telephone_number": "702-871-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHAVONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "deactivation_date": "2020-02-25",
        "reactivation_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1234567",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "123456",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shajuan Thomas
• Shanese Thomas
• Shannon Thomas
• Sharay Thomas
• Sharonda Thomas
• Shelby Thomas, MD
• Shenise Lyntonia Thomas
• Shina Yumi Thomas
• Shontess Sherese Thomas
• Sierra Thomas

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.