Active NPI
Jamie Mashburn Thorn, ARNP
- Nurse Practitioner
- Pace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP3277182
- Practice address
- 3754 Highway 90
Ste 220
Pace, FL 32571-1096 - Phone
- (850) 416-5050
- Fax
- (850) 416-5022
- NPI assigned
- Oct 9, 2007
- Last updated
- Aug 12, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP3277182 | FL | Primary |
Addresses
Primary practice location
3754 Highway 90
Ste 220
Pace, FL 32571-1096
Mailing address
PO Box 2699
Attn: SHMG/Hpe
Pensacola, FL 32513-2699
Phone (850) 416-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4501 N Davis Hwy
Suite a
Pensacola, FL 32504-2724
Phone (850) 476-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3277182 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Health System Inc | Current | Accepting new patients | |
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Medical Group | Past | Accepting new patients | |
| Pensacola Urology, PA | Past | Accepting new patients |
Locations
36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301
3754 Highway 90
Ste 220
Pace, FL 32571
Phone (850) 416-5050
4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000
8333 N Davis Hwy
Ste 7002
Pensacola, FL 32514
Phone (850) 494-0224
Interoperability endpoints
- jamie.thorn.1@9582.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Sacred Heart
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
dba Ascension Rx 1411
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1366260739
-
dba Ascension Medical Group Sacred Heart
- Family Medicine Physician
- Pensacola, FL
- NPI 1144271586
-
- Specialist
- Pensacola, FL
- NPI 1962489278
-
- Obstetrics & Gynecology Physician
- Pace, FL
- NPI 1417627670
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439337600000",
"number": "1225226889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2699",
"address_2": "ATTN: SHMG/HPE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325132699",
"telephone_number": "850-416-5050",
"fax_number": "850-416-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 HIGHWAY 90",
"address_2": "STE 220",
"city": "PACE",
"state": "FL",
"postal_code": "325711096",
"telephone_number": "850-416-5050",
"fax_number": "850-416-5022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "JAMIE",
"middle_name": "MASHBURN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2015-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP3277182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.