Individual provider Active NPI

Carol Thurman, PH.D.

  • Psychologist
  • Nebraska City, NE
National Provider Identifier
1215933007
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
542 Issued in NE
Practice address
1116 N 57TH Rd
Nebraska City, NE 68410-6200
Phone
(402) 874-9050
Fax
(402) 874-9050
NPI assigned
Jun 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 542 NE Primary

Addresses

Primary practice location

1116 N 57TH Rd
Nebraska City, NE 68410-6200

Mailing address

1116 N 57TH Rd
Nebraska City, NE 68410-6136
Phone (402) 874-9050

Other identifiers 1

IdentifierTypeStateIssuer
08156OtherNEBLUECROSS/BLUESHIELD

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
542NEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1215933007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N 57TH RD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684106136",
            "telephone_number": "402-874-9050",
            "fax_number": "402-874-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N 57TH RD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684106200",
            "telephone_number": "402-874-9050",
            "fax_number": "402-874-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-26",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "08156",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.