Active NPI
Carol Thurman, PH.D.
- Psychologist
- Nebraska City, NE
National Provider Identifier
1215933007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08156 | Other | NE | BLUECROSS/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
| License | State | Type | Specialty |
|---|---|---|---|
| 542 | NE | MD | Athletic 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.