Active NPI
Juanita Felisha Thomas, NURSE AIDE
- Nurse's Aide
- Saint Louis, MO
National Provider Identifier
1518167246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 2004399
- Practice address
- 4144 Lindell Blvd Ste 317
Saint Louis, MO 63108-2953 - Phone
- (314) 824-7476
- NPI assigned
- Jul 20, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | 2004399 | MO | Primary |
Addresses
Primary practice location
4144 Lindell Blvd Ste 317
Saint Louis, MO 63108-2953
Mailing address
8420 Saint Olaf Dr
Saint Louis, MO 63134-1110
Phone (314) 824-7476
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 |
|---|---|---|---|
| 2004399 | MO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1518167246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 SAINT OLAF DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631341110",
"telephone_number": "314-824-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 LINDELL BLVD STE 317",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082953",
"telephone_number": "314-824-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUANITA",
"middle_name": "FELISHA",
"credential": "NURSE AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MO",
"license": "2004399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.