Active NPI
Nicole Thomas
- Home Health Aide
- Laurel, MD
National Provider Identifier
1396333472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 9045 Contee Rd
Laurel, MD 20708-2115 - Phone
- (240) 351-6023
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
9045 Contee Rd
Laurel, MD 20708-2115
Mailing address
9045 Contee Rd
Laurel, MD 20708-2115
Phone (240) 351-6023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803014 | Other | MD | CNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laurel | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1396333472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 CONTEE RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082115",
"telephone_number": "240-351-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 CONTEE RD",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082115",
"telephone_number": "240-351-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "803014",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Laurel",
"affiliation": "N",
"endpointDescription": "CNA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Laurel",
"address_1": "9045 Contee Rd",
"city": "Laurel",
"state": "MD",
"country_code": "US",
"postal_code": "207082115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.