Active NPI
Sanya Thomas
- Family Nurse Practitioner
- Bloomfield, CT
National Provider Identifier
1649083692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 124966
- Practice address
- 11 Kent LN
Bloomfield, CT 06002-1326 - Phone
- (959) 999-5784
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 124966 | CT | |
| Family Nurse Practitioner | 363LF0000X | 124966 | CT | Primary |
Addresses
Primary practice location
11 Kent LN
Bloomfield, CT 06002-1326
Mailing address
11 Kent LN
Bloomfield, CT 06002-1326
Phone (959) 999-5784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124966 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Post Acute Medical Services 1 PC | Current | Accepting new patients | |
| CS Pacs 3 Northeast, LLC | Current | Accepting new patients | |
| Ma Pacs 2 PC | Current | Accepting new patients |
Locations
111 Church St
Middletown, CT 06457
Phone (860) 347-3786
31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650
88 Clark Ln
Waterford, CT 06385
Phone (860) 442-0471
Organizations & group practices 4
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.
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- Hamden, CT
- NPI 1053344473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1649083692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 KENT LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021326",
"telephone_number": "959-999-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KENT LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021326",
"telephone_number": "959-999-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SANYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "124966",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "124966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.