Individual provider Active NPI

Anita Box Thomas, CFNP

  • Nurse Practitioner
  • Oxford, MS
National Provider Identifier
1679566822
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R777188 Issued in MS
Practice address
2908 S Lamar Blvd Ste 100
Oxford, MS 38655-5375
Phone
(662) 281-0112
Fax
(662) 281-0943
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R777188 MS Primary

Addresses

Primary practice location

2908 S Lamar Blvd Ste 100
Oxford, MS 38655-5375

Mailing address

2908 S Lamar Blvd Ste 100
Oxford, MS 38655-5375
Phone (662) 281-0112

Other identifiers 1

IdentifierTypeStateIssuer
00123850MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000633 MS Practitioner - Nurse Practitioner 6800911280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R777188MSMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1679566822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 S LAMAR BLVD STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555375",
            "telephone_number": "662-281-0112",
            "fax_number": "662-281-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 S LAMAR BLVD STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555375",
            "telephone_number": "662-281-0112",
            "fax_number": "662-281-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOX THOMAS",
        "first_name": "ANITA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R777188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.