Gayla Suzanna Mae Thombleson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002980A Issued in IN

Practice address

2901 N Walnut St
Bloomington, IN 47404-2065

Phone

(812) 336-7246

NPI assigned

Jul 10, 2017

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

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.

• Indiana Chiropractic and Rehab LLC

  • Chiropractor
  • Bloomington, IN
  • NPI 1851621924
  NPD (past)
• Indigo 6 LLC

  • Specialist
  • Bloomington, IN
  • NPI 1639659832
  NPD (past)

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1326560582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SE 7TH ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475013606",
            "telephone_number": "812-259-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042065",
            "telephone_number": "812-336-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMBLESON",
        "first_name": "GAYLA",
        "middle_name": "SUZANNA MAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002980A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Thomas, AU.D.
• Harley Danielle Thomas, NP
• Jack E. Thomas, PH.D.
• Jeff C.C. Thomas, M.D.
• Kelly Ann Thomas, PHD
• Christopher Thompson, LAT, ATC
• Dayna Amber Thompson, LMHC
• Elizabeth A Thompson, AUD
• Gloria Ann Thompson, MSW LCSW
• Karen Rene' Thompson, CTRS, HTR

• Chiropractor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; 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.