Individual provider Active NPI

Carrie Ann St. Thomas, RN

  • School Registered Nurse
  • Grass Valley, CA
National Provider Identifier
1609633478
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95142893 Issued in CA
Practice address
11645 Ridge Rd
Grass Valley, CA 95945-5099
Phone
(530) 273-4431
NPI assigned
Feb 28, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95142893 CA Primary

Addresses

Primary practice location

11645 Ridge Rd
Grass Valley, CA 95945-5099

Mailing address

11645 Ridge Rd
Grass Valley, CA 95945-5099
Phone (530) 273-4431

Other practice location 1

250 Sierra College Dr
Grass Valley, CA 95945-5726
Phone (530) 274-5270

Other practice location 2

11130 Magnolia Rd
Grass Valley, CA 95949-8366
Phone (530) 268-3700

Other practice location 3

140 Park Ave
Grass Valley, CA 95945-7202
Phone (530) 272-2635

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95142893CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1609633478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 RIDGE RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455099",
            "telephone_number": "530-273-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 RIDGE RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455099",
            "telephone_number": "530-273-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Sierra College Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455726",
            "country_code": "US",
            "telephone_number": "530-274-5270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11130 Magnolia Rd",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959498366",
            "country_code": "US",
            "telephone_number": "530-268-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959457202",
            "country_code": "US",
            "telephone_number": "530-272-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. THOMAS",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95142893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.