Heather Thoma, RN, QMHP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201807240RN Issued in OR

Practice address

137 Hall Ave
Coos Bay, OR 97420-1519

Phone

(541) 236-2088

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1194575126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95440 LILLIAN SLOUGH LN",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974207557",
            "telephone_number": "330-819-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 HALL AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201519",
            "telephone_number": "541-236-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMA",
        "first_name": "HEATHER",
        "credential": "RN, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "24-QMHP-R-2651",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201807240RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Tersigni, MD, FACS
• Man Thai, PHARMD
• The Hydration Room
• Therapeutic Innovations, LLC
• Ndeye Thiaw
• Three Branches Clinic PC
• Mark B Titcomb, CRNA
• Bradley G Titus, M.D.
• Diane H Todd, ACNP
• Charles H Toledo, M.D.

• Registered Nurse in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.