Sandra Thomas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R772161 Issued in MS

Legal business name

SANDRA THOMAS

Practice address

6021 Channel 16 Way
Jackson, MS 39209-9676

Phone

(601) 672-7835

Fax

(601) 346-7133

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra F. Thomas, CNS

Title

FNP

Phone

(601) 672-7835

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THOMAS FAMILY CENTER FOR DIABETES Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Farrish, DPM

  • Podiatrist
  • Clinton, MS
  • NPI 1922032028
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1578714366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 CHANNEL 16 WAY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099676",
            "telephone_number": "601-672-7835",
            "fax_number": "601-346-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6021 CHANNEL 16 WAY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099676",
            "telephone_number": "601-672-7835",
            "fax_number": "601-346-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA THOMAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "601-672-7835",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNS"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R772161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125877",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMAS FAMILY CENTER FOR DIABETES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliette Laginger Sandifer Kum-Nji, M.D.
• Ashley Lecates Sandifer, AU.D.
• John Pettey Sandifer Jr., M.D.
• Shelby Sandifer, LPC
• Vanessa Lackey Sandifer, MD
• Shanda Sandridge, NP
• Addie Hitt Sandroni, MD
• Cynthia L Sandroni, R.PH.
• David Milton Sandy, DO
• Diane Lois Sanford

• Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.