Mitzie Eumarie Thomas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F33805-1 Issued in NY

Practice address

9 Hart St
Brooklyn, NY 11206-6401

Phone

(347) 628-4326

Fax

(718) 246-1466

NPI assigned

Feb 4, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1407270978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066401",
            "telephone_number": "346-628-4326",
            "fax_number": "718-246-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066401",
            "telephone_number": "347-628-4326",
            "fax_number": "718-246-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MITZIE",
        "middle_name": "EUMARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F33805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Thomas, CRNP
• Maureen Thomas
• Mavis Thomas, FNP
• Melissa J Thomas, LCSW
• Mickelsie Thomas, MS
• Monique Sebrina Thomas
• Nancy Thomas, P.A
• Natalie Sophia Thomas, LMSW
• Natasha Thomas
• Natasha Thomas

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.