Gwendolynn Thomas, A.P.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

AP2207 Issued in FL

Practice address

6701 38TH Avenue North
Suite #3
St Petersburg, FL 33710

Phone

(727) 344-8690

NPI assigned

May 9, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jade Tree Wellness Center, Inc.

  • Medical Art Specialist/Technologist
  • St Petersburg, FL
  • NPI 1487778254
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366656258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106104",
            "telephone_number": "727-515-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 38TH AVENUE NORTH",
            "address_2": "SUITE #3",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-344-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GWENDOLYNN",
        "credential": "A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "AP2207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENSE",
            "identifier": "AP2207",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Thomas, PTA
• Donald C Thomas III, MD
• Douglas Alton Thomas, LPC, LMHC
• Erin Walker Thomas, MD
• Evan R Thomas, PA
• Kollyne Thomas
• Kristen Thomas, DO
• Matthew Wayne Thomas, MD
• Michael Thomas, PHARM.D.
• Shajerria Thomas, LMSW

• Public Health & General Preventive Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Public Health & General Preventive Medicine Physician in Florida

• 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.