Andrea M. Thoman, CPNP, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0003334 Issued in CT

Practice address

357 Hartford Tpke
Vernon, CT 06066-4838

Phone

(860) 871-2102

Fax

(860) 870-0890

NPI assigned

May 24, 2005

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)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Acute Care Pediatrics,PA

  • Rural Health Clinic/Center
  • Palatka, FL
  • NPI 1003866732
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1306849385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 DZEN WAY",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742098",
            "telephone_number": "860-432-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664838",
            "telephone_number": "860-871-2102",
            "fax_number": "860-870-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "ANDREA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CPNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "0003334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Szczycinski, LCSW
• Lisa Talati, DO
• Bruce Jay Tandy, D.M.D
• Tynisha Teal, MSW
• Theresa Y Mangual MD
• Eric Michael Thompson, DPM
• Andrew M Toce, LPC
• Dennis Tomczak
• Total Renal Care Inc
• Town of Vernon

• Pediatric Nurse Practitioner in Vernon, CT
• Providers in Vernon, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.