Active NPI
Lawrence T Thomas Jr.
- Case Manager/Care Coordinator
- Gilbert, AZ
National Provider Identifier
1417386400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 10718
- Practice address
- 1220 W Sand Dune Dr
Gilbert, AZ 85233-5615 - Phone
- (480) 235-3456
- Fax
- (520) 578-3901
- NPI assigned
- Nov 11, 2013
- Last updated
- Nov 11, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 10718 | AZ | Primary |
Addresses
Primary practice location
1220 W Sand Dune Dr
Gilbert, AZ 85233-5615
Mailing address
2621 W Vereda Verde
Tucson, AZ 85746-8001
Phone (480) 235-3456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10718 | AZ | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galilee Assisted Living, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Tucson, AZ
- NPI 1609206184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384128000000",
"number": "1417386400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 W VEREDA VERDE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857468001",
"telephone_number": "480-235-3456",
"fax_number": "520-578-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 W SAND DUNE DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335615",
"telephone_number": "480-235-3456",
"fax_number": "520-578-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LAWRENCE",
"middle_name": "T",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-11",
"last_updated": "2013-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "AZ",
"license": "10718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.