Annette Angela Thomas

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906610 Issued in FL

Practice address

18520 Satsuma Ave
Port Charlotte, FL 33948-7520

Phone

(941) 625-8264

Fax

(941) 625-8264

NPI assigned

May 13, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1174969588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 SATSUMA AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339487520",
            "telephone_number": "941-625-8264",
            "fax_number": "941-625-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18520 SATSUMA AVE",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339487520",
            "telephone_number": "941-625-8264",
            "fax_number": "941-625-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANNETTE",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Gathering Place LLC
• The Neurohealth Science Center LLC Dba Charlotte Neurosurgery
• Marc Eddy Theodor, PMHNP
• Monica Thibeault
• Thomas Kartis Jr MD PA
• Erik Trevor Thomas, MOT
• Jenna Thomas, FNP
• Kathleen P Thomas, RPH
• Margaret G. Thomas, HEARING AID SPECIALI
• Tesia Thomas, DMD

• Adult Care Home Facility in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.