Janet Lynn Thacker, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004244 Issued in NC

Practice address

1101 S Main St
Kernersville, NC 27284-7478

Phone

(336) 996-4021

NPI assigned

Dec 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609011238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847478",
            "telephone_number": "336-996-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847478",
            "telephone_number": "336-996-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004289",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Craddock Templeton, DPT
• Davis Banks Templeton, PT DPT
• Teresa G. Biggerstaff, DDS, MD, PA
• Ginger G Terry
• Kathleen Lou Thach, L.P.C.
• The Medical Warehouse & Service Center, LLC
• The Moses H Cone Memorial Hospital Operating Corporation
• The Moses H. Cone Memorial Hospital Operating Corporation
• The Moses H. Cone Memorial Hospital Operating Corporation
• Jennifer N. Thoman, PT

• Family Nurse Practitioner in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.