Angela Victoria Thrahser

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

PT1120 Issued in MS

Practice address

111 G St
Arnold Annex, BLDG 5901
Biloxi, MS 39534-2410

Phone

(228) 377-0801

Fax

(228) 377-0371

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By 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 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215049283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GRANDE VIEW DR",
            "address_2": "APT #221",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314717",
            "telephone_number": "240-606-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 G ST",
            "address_2": "ARNOLD ANNEX, BLDG 5901",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342410",
            "telephone_number": "228-377-0801",
            "fax_number": "228-377-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRAHSER",
        "first_name": "ANGELA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MS",
            "license": "PT1120",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "DC",
            "license": "PT870615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Deshaune Thomas, LCSW
• Alona Nicole Thompson, CTRS
• Ashley Renee Thompson
• Camellia Thompson, LMSW
• Tyler Hayston Thornton
• Lauren Steward Thurman, PT
• Haley Tillman, FNP
• Kelly Lynn Tinson, NP-C
• Tiffany Rashel Tisdale
• Robyn Tobillo, MD

• Military Health Care Provider in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Military Health Care Provider in Mississippi

• 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.

Verify at the official NPI Registry.