Adaline Sullivan Thomas, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP 1379282 Issued in FL

Practice address

618 S Forest Ave
Apopka, FL 32703-5338

Phone

(407) 886-6201

Fax

(407) 886-3822

NPI assigned

Jul 21, 2005

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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295734143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GOLFSIDE DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925127",
            "telephone_number": "407-677-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S FOREST AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035338",
            "telephone_number": "407-886-6201",
            "fax_number": "407-886-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ADALINE",
        "middle_name": "SULLIVAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP 1379282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilsy Thekkan, CRNP
• Roberto Thelusma
• Theo Medical Dermatology, LLC
• Athena Theodosatos, DO MPH
• Theraplay @ Home
• Amera Jullanar Thomas, MS, PPC
• Deaijia Thomas, BCBA
• Isany Marie Thomas, APRN
• Jeremy Thomas
• Trevor S Thomas Sr.

• Pediatric Nurse Practitioner in Apopka, FL
• Providers in Apopka, FL by specialty
• Pediatric Nurse Practitioner in Florida

• 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.