Stacy S Thomas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN095965 Issued in OH

Practice address

3612 Plymouth Springmill Rd
Shelby, OH 44875-9527

Phone

(419) 347-2810

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356470967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 PLYMOUTH SPRINGMILL RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759527",
            "telephone_number": "419-347-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 PLYMOUTH SPRINGMILL RD",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448759527",
            "telephone_number": "419-347-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STACY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN095965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "PN095965",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2575486",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thi of Ohio at Heritage, LLC (Heritage Care Center)
• Third Street Community Clinic Inc (Shelby Health and Wellness Center)
• Third Street Community Clinic Inc (Shelby OB/GYN)
• Third Street Community Clinic Inc (Shelby Health and Wellness Center)
• Third Street Community Clinic, Inc
• Thu Lephan DDS, LLC
• Jenny Lynne Thurman, RD,LD
• Allison Tomasek
• Virgilio Millado Tongson, MD
• Township of Franklin (Franklin Twp Fire Department)

• Licensed Practical Nurse in Shelby, OH
• Providers in Shelby, OH by specialty
• Licensed Practical Nurse in Ohio

• 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.