Tracy Ann Thomas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

203156-1 Issued in NY

Practice address

139 Fillmore St
Staten Island, NY 10301-1228

Phone

(917) 837-0688

Fax

(718) 816-7904

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1396995726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FILLMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011228",
            "telephone_number": "917-837-0688",
            "fax_number": "718-816-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FILLMORE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011228",
            "telephone_number": "917-837-0688",
            "fax_number": "718-816-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "203156-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiny Mohan Thomas
• Soni Thomas, PT
• Susan Thomas, RN
• Tanisha Thomas
• Tanya Louisa Thomas, COTA
• Usha Thomas, MD
• Heather Thomassen, M.S.ED., NCSP
• Alisha Thompson, LPN
• Ashanti Narobi Thompson, LMSW
• Carlotta Denine Thompson, RN

• Licensed Practical Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.