Individual provider Active NPI

Mary Ella Thomas, RN

  • Home Health Registered Nurse
  • Westerville, OH
National Provider Identifier
1295954915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN-291271 Issued in OH
Practice address
5554 Albany Springs Dr
Westerville, OH 43081-7001
Phone
(740) 973-5131
Fax
(614) 948-1140
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-291271OHMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ages Group LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN-291271 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

5554 Albany Springs Dr
Westerville, OH 43081-7001

Mailing address

PO Box 272034
Columbus, OH 43227-8034
Phone (740) 973-5131

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2408362OtherOHINDEPENDENT PROVIDER #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295954915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272034",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432278034",
            "telephone_number": "740-973-5131",
            "fax_number": "614-948-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5554 ALBANY SPRINGS DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430817001",
            "telephone_number": "740-973-5131",
            "fax_number": "614-948-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "ELLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN-291271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT PROVIDER #",
            "identifier": "2408362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • 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.