Active NPI
Catherine King Thomas, APRN
- Family Nurse Practitioner
- Peak, SC
National Provider Identifier
1417595455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23536
- Practice address
- 32 River St
Peak, SC 29122-1100 - Phone
- (803) 945-7475
- Fax
- (803) 945-0000
- NPI assigned
- Dec 19, 2019
- Last updated
- Nov 29, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 23536 | SC | Primary |
Addresses
Primary practice location
32 River St
Peak, SC 29122-1100
Mailing address
32 River St
Peak, SC 29122-1100
Phone (803) 945-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23536 | Other | SC | APRN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Behavioral Health Services of South Carolina, P.C. | Current | Accepting new patients | |
| Pinner Clinic PA | Current | Accepting new patients |
Locations
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
Interoperability endpoints
- https://api.platform.athenahealth.com/8601/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
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- Greenville, SC
- NPI 1568048833
-
- Family Medicine Physician
- Peak, SC
- NPI 1982644290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1417595455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 RIVER ST",
"city": "PEAK",
"state": "SC",
"postal_code": "291221100",
"telephone_number": "803-945-7475",
"fax_number": "803-945-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RIVER ST",
"city": "PEAK",
"state": "SC",
"postal_code": "291221100",
"telephone_number": "803-945-7475",
"fax_number": "803-945-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CATHERINE",
"middle_name": "KING",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "23536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "23536",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peak, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.