Gloria Thomas

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

09481 Issued in MD

Practice address

21585 Peabody St
Leonardtown, MD 20650-2955

Phone

(301) 475-8000

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1447513452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 HARBOR DR",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572714",
            "telephone_number": "804-238-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21585 PEABODY ST",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502955",
            "telephone_number": "301-475-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167013223",
            "country_code": "US",
            "telephone_number": "814-362-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GLORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "09481",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Taylor, LCSW-C
• Kristina Blair Tchoumak, LGPC
• Diana Tenney
• Andrei Teodosescu, M.D.
• David C Terborg, MSPT
• Priscilla Thomas, MS, RN, RD, CDCES
• Eva Thompson, NP
• Haley Marie Thompson, PA-C
• Jenette E Thompson
• Jessica Thompson, LGSW

• Speech-Language Pathologist in Leonardtown, MD
• Providers in Leonardtown, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.