Carol Thunderdance, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP036562 Issued in AZ

Practice address

701 West Wetmore Rd. RM. 168
Amphitheater Public Schools
Tucson, AZ 85705-1547

Phone

(520) 696-5237

Fax

(520) 696-5067

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1578871844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WEST WETMORE RD. RM. 168",
            "address_2": "PIMA COUNTY AMPHITHEATER SCHOOLS DBA AMPHITHEATER PUBLI",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051547",
            "telephone_number": "520-696-5237",
            "fax_number": "520-696-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WEST WETMORE RD. RM. 168",
            "address_2": "AMPHITHEATER PUBLIC SCHOOLS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857051547",
            "telephone_number": "520-696-5237",
            "fax_number": "520-696-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUNDERDANCE",
        "first_name": "CAROL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP036562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Throckmorton, PHARMD
• Janice Elizabeth Thron-Kelly, LCSW
• Aliesje Nichole Thrower, PTA
• Aurora Thrush
• Kenneth L Thueson, DDS
• Ravina Thuraisingam, MD
• Talia Thurber, LMSW
• Patrick Thurman
• Kaitlin Thursby, RN
• Susan Thurston Walters, MSC

• All providers in Tucson, AZ
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.