Tina M Thomas, INTERVENTION PRO.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

3800 W Perugia St Apt W204
Meridian, ID 83642-4973

Phone

(208) 869-7306

NPI assigned

Jul 19, 2019

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

Other names 1

• Tina M Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1376196246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W PERUGIA ST APT W204",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424973",
            "telephone_number": "208-869-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W PERUGIA ST APT W204",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424973",
            "telephone_number": "208-869-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "INTERVENTION PRO.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0003835",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "THOMAS",
            "middle_name": "M",
            "credential": "INTERVENTION PROF.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Thomas, FNP-C
• Kirsten Ceily Thomas, RD
• Mark C Thomas, DO
• Richard Scott Thomas, D.O.
• Tina Thomas, LPC
• Thomason Counseling Services
• Shane Alan Thomason, LCPC
• Alexandra Patrice Thompson, LMSW
• Amanda L Thompson
• Amy Kathryn Thompson, PT, DPT

• Community/Behavioral Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.