Active NPI
Amanda Thomas
- Licensed Practical Nurse
- Ironton, OH
National Provider Identifier
1477316420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.111204.MEDS
- Practice address
- 2727 S 3Rd Street
Ironton, OH 45638-4563 - Phone
- (740) 534-2100
- NPI assigned
- Feb 2, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Licensed Practical Nurse | 164W00000X | LPN.111204.MEDS | OH | Primary |
Addresses
Primary practice location
2727 S 3Rd Street
Ironton, OH 45638-4563
Mailing address
2727 S 3Rd Street
Ironton, OH 45638
Phone (740) 534-2100
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 |
|---|---|---|---|
| LPN.111204.MEDS | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Services LLC | Current | Accepting new patients | |
| Bethesda Services LLC | Current | Accepting new patients |
Locations
2727 S 3rd St
Ironton, OH 45638
Phone (740) 534-2100
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/bethesdaservicesllc/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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Ironton, OH
- NPI 1790586444
-
- Addiction (Substance Use Disorder) Counselor
- Ironton, OH
- NPI 1992392005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1477316420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 S 3RD STREET",
"city": "IRONTON",
"state": "OH",
"postal_code": "45638",
"telephone_number": "740-534-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 S 3RD STREET",
"city": "IRONTON",
"state": "OH",
"postal_code": "456384563",
"telephone_number": "740-534-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-02",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.111204.MEDS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ironton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.