Active NPI
Nicole-Bernice Maria Thomas
- Case Management Registered Nurse
- Laurel, MD
National Provider Identifier
1659636934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- RN 42355
- Practice address
- 8139 Pennington Dr
Laurel, MD 20724-6120 - Phone
- (202) 705-2474
- Fax
- (202) 291-7018
- NPI assigned
- Jul 12, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN 42355 | DC | Primary |
Addresses
Primary practice location
8139 Pennington Dr
Laurel, MD 20724-6120
Mailing address
8139 Pennington Dr
Laurel, MD 20724-6120
Phone (202) 705-2474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN42355 | Other | DC | DISTRICT OF COLUMBA BOARD OF NURSING |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 42355 | DC | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1659636934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8139 PENNINGTON DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246120",
"telephone_number": "202-705-2474",
"fax_number": "202-291-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8139 PENNINGTON DR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207246120",
"telephone_number": "202-705-2474",
"fax_number": "202-291-7018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NICOLE-BERNICE",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "DC",
"license": "RN 42355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBA BOARD OF NURSING",
"identifier": "RN42355",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.