Individual provider Active NPI

Katrina D Thomas, BUSINESS/ OPERATOR

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1629732912
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
305567 Issued in FL
Practice address
50 N Laura St
Jacksonville, FL 32202-3664
Phone
(904) 775-0187
NPI assigned
Oct 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 305567 FL Primary

Addresses

Primary practice location

50 N Laura St
Jacksonville, FL 32202-3664

Mailing address

50 N Laura St
Jacksonville, FL 32202-3664
Phone (904) 775-0187

Other identifiers 1

IdentifierTypeStateIssuer
861419800OtherFLHOMEMAKER AND COMPANION

Other names 1

  • Katrina D Thomas Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katrina@wonderfulhandscareservicesllc.com Health Information Exchange (HIE) wonderful hands care services llc

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

State licenses

LicenseStateTypeSpecialty
305567FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderful Hands Care Services LLC Home Health Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1629732912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-775-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-775-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATRINA",
        "middle_name": "D",
        "credential": "BUSINESS/ OPERATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "305567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER AND COMPANION",
            "identifier": "861419800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katrina@wonderfulhandscareservicesllc.com",
            "affiliation": "Y",
            "endpointDescription": "Outlook",
            "affiliationName": "wonderful hands care services llc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 N Laura St",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322023664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "THOMAS",
            "middle_name": "D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.