Active NPI
Marcy Benzer Thomas, NP
- Women's Health Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1467412478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5560
- Practice address
- 671 Vandalia St
Saint Paul, MN 55114 - Phone
- (651) 698-2406
- NPI assigned
- Mar 24, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 242381 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | R45533 | ND | |
| Women's Health Nurse Practitioner | 363LW0102X | R050011 | SD | |
| Women's Health Nurse Practitioner | 363LW0102X | 002094 | CT | |
| Women's Health Nurse Practitioner | 363LW0102X | 5560 | MN | Primary |
Addresses
Primary practice location
671 Vandalia St
Saint Paul, MN 55114
Mailing address
671 Vandalia St
Saint Paul, MN 55114-1312
Phone (651) 698-2406
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5560 | MN | MD | Chiropractor |
| 242381 | MA | MD | Obstetrics & Gynecology Physician |
| 002094 | CT | MD | Women's Health Nurse Practitioner |
| R45533 | ND | MD | Women's Health Nurse Practitioner |
| R050011 | SD | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1467412478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 VANDALIA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141312",
"telephone_number": "651-698-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 VANDALIA ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55114",
"telephone_number": "651-698-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARCY",
"middle_name": "BENZER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "242381",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ND",
"license": "R45533",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SD",
"license": "R050011",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CT",
"license": "002094",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "5560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.