Individual provider Active NPI

Jessica Marie Thurman, PA-C

  • Physician Assistant
  • Sioux Falls, SD
National Provider Identifier
1235401852
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0804 Issued in SD
Practice address
4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone
(605) 322-4236
Fax
(605) 322-2097
NPI assigned
Jan 27, 2012
Last updated
May 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0804 SD Primary
Physician Assistant 363A00000X 077003 IA

Addresses

Primary practice location

4500 N Lewis Ave
Sioux Falls, SD 57104-7111

Mailing address

4500 N Lewis Ave
Sioux Falls, SD 57104-7111
Phone (605) 322-4236

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
077003IAMDPhysician Assistant
0804SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Platte Community Memorial Hospital, Inc. PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jthurman317931@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1235401852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-4236",
            "fax_number": "605-322-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N LEWIS AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571047111",
            "telephone_number": "605-322-4236",
            "fax_number": "605-322-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0804",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "077003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.