Tina Marie Thomas, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.172076 Issued in OH

Practice address

115 S Wooster Ave
Dover, OH 44622-1944

Phone

(866) 934-7450

NPI assigned

Dec 21, 2020

Last updated

Sep 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Treatment Centers Oh-XI, LLC

  dba Brilliant Treatment Services

  • Methadone Clinic
  • Brilliant, OH
  • NPI 1023621042
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1538755889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-639-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221944",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1479 3rd St",
            "address_purpose": "LOCATION",
            "city": "Brilliant",
            "state": "OH",
            "postal_code": "439131000",
            "country_code": "US",
            "telephone_number": "740-598-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "23869278",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.172076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Union Hospital Association
• The Union Hospital Association (Union Hospital)
• Thomas a Perkowski DO LTD
• Bonnie K Thomas, LSW
• Kayley Thomas, RD, LD
• Elizabeth K Thompson, LPN
• Trinity Hospital Twin City (Twin City Medical Center)
• Jill Suzanne Tucker
• Tracy Louise Turck, LPN
• Tusc County Medical Specialist LLC (Tusc County Medical Specialist)

• Licensed Practical Nurse in Dover, OH
• Providers in Dover, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.