Active NPI
Carla Charlene Thomas
- Personal Care Attendant
- Alma, WV
National Provider Identifier
1487167128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 164 Klondike Rd (Physical)
Alma, WV 26320 - Phone
- (304) 758-5198
- NPI assigned
- Nov 15, 2017
- Last updated
- Nov 15, 2017
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | WV | Primary |
Addresses
Primary practice location
164 Klondike Rd (Physical)
Alma, WV 26320
Mailing address
P.O. Box 46
Alma, WV 26320
Phone (304) 758-5198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032643000 | Other | WV | PROVIDER I.D. |
Other names 1
- Mrs. Carla Charlene Nichols (Maiden)
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1487167128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 46",
"city": "ALMA",
"state": "WV",
"postal_code": "26320",
"telephone_number": "304-758-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 KLONDIKE RD (PHYSICAL)",
"city": "ALMA",
"state": "WV",
"postal_code": "26320",
"telephone_number": "304-758-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CARLA",
"middle_name": "CHARLENE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER I.D.",
"identifier": "0032643000",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "NICHOLS (MAIDEN)",
"middle_name": "CHARLENE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alma, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.