Mercedes L Thomas, CPNP, IBCLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R224496 Issued in MD

Practice address

12774 Wisteria Dr # 2841
Germantown, MD 20874-9998

Phone

(404) 635-6175

NPI assigned

May 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mercedes L Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1366853186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 SKYVIEW DR UNIT 926",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301225010",
            "telephone_number": "404-635-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12774 WISTERIA DR # 2841",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208749998",
            "telephone_number": "404-635-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MERCEDES",
        "middle_name": "L",
        "credential": "CPNP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R224496",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN198323",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R224496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCEDES",
            "last_name": "RICE",
            "middle_name": "L",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benoy Thomas, MSW, LCSW-C, LICSW
• Damaya Thomas
• Erin Taylor Thomas
• Hannah Ruth Thomas
• Kirsten Thomas
• Zorina Michelle Thomas, PA-C
• Anna Adele Thomasson, LCSW-C
• Beatrix Thompson
• Demitra Georgia Thompson
• Shelly Thompson

• Pediatric Nurse Practitioner in Germantown, MD
• Providers in Germantown, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.