Individual provider Active NPI

Reena Elsa Thomas

  • Pediatrics Physician
  • Newark, DE
National Provider Identifier
1326493198
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C1-0013178 Issued in DE
Practice address
4745 Ogletown Stanton Rd Ste 116
Newark, DE 19713
Phone
(804) 495-5842
NPI assigned
Apr 29, 2016
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X C1-0013178 DE Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd Ste 116
Newark, DE 19713

Mailing address

10405 Flat Branch Dr
Richmond, VA 23233-5829
Phone (804) 495-5842

Other practice location 1

1250 E. Marshall St.
980264
Richmond, VA 23298
Phone (804) 828-9955

Other practice location 2

1250 E. Marshall St.
980264
Richmond, VA 23298
Phone (804) 828-9955

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

State licenses

LicenseStateTypeSpecialty
C1-0013178DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rthomas128415@direct.nemours.org

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, 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": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1326493198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 FLAT BRANCH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232335829",
            "telephone_number": "804-495-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD STE 116",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "804-495-5842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E. Marshall St.",
            "address_2": "980264",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-9955",
            "fax_number": "804-828-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 E. Marshall St.",
            "address_2": "980264",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-9955",
            "fax_number": "804-828-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "REENA",
        "middle_name": "ELSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0013178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.