Active NPI
Jaime C Thomas, DME
- Prosthetic/Orthotic Supplier
- Killeen, TX
National Provider Identifier
1508301094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 1617428
- Practice address
- 3921 E Stan Schlueter Loop
Suite 105
Killeen, TX 76542-6652 - Phone
- (254) 458-8534
- Fax
- (254) 680-1997
- NPI assigned
- Dec 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1617428 | TX | |
| Prosthetic/Orthotic Supplier | 335E00000X | 1617428 | TX | Primary |
Addresses
Primary practice location
3921 E Stan Schlueter Loop
Suite 105
Killeen, TX 76542-6652
Mailing address
PO Box 690553
Killeen, TX 76549
Phone (254) 458-8534
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 |
|---|---|---|---|
| 1617428 | TX | MD | Prosthetic/Orthotic Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1508301094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690553",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76549",
"telephone_number": "254-458-8534",
"fax_number": "254-680-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 E STAN SCHLUETER LOOP",
"address_2": "SUITE 105",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765426652",
"telephone_number": "254-458-8534",
"fax_number": "254-680-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JAIME",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "DME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-20",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "1617428",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "1617428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.