Active NPI
Michelle Lea Thomas, BS
- Case Manager/Care Coordinator
- Twin Falls, ID
National Provider Identifier
1467693499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 795 Walnut St N
Twin Falls, ID 83301-4140 - Phone
- (208) 404-4853
- NPI assigned
- Mar 21, 2009
- Last updated
- Mar 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
795 Walnut St N
Twin Falls, ID 83301-4140
Mailing address
795 Walnut St N
Twin Falls, ID 83301-4140
Phone (208) 404-4853
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | ID |
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237593600000",
"number": "1467693499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 WALNUT ST N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014140",
"telephone_number": "208-404-4853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WALNUT ST N",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014140",
"telephone_number": "208-404-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHELLE",
"middle_name": "LEA",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-21",
"last_updated": "2009-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
- The Walker Center for Alcoholism and Drug Abuse, Inc. (The Walker Center Intensive Outpatient Program)
- Jessica Thibault, M.D.
- Deborah Ann Thomas, LPC, CADC, M.ED
- Eric Thomas
- Evan D Thomas, M.D.
- Nicole L Thomas, LMSW
- Sunni Jo Thomas
- Shannon Leigh Thomason
- Tracy Thompson-Benedictus, LCPC
- Brock C Thompson, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.