Active NPI
Carmen Sioux Thomas, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 71440
- Practice address
- 2825 Randolph Rd
Charlotte, NC 28211-1018 - Phone
- (704) 337-1647
- Fax
- (704) 377-5014
- NPI assigned
- Sep 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN170518 | GA | |
| Registered Nurse | 163W00000X | 164470 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 71440 | NC | Primary |
Addresses
Primary practice location
2825 Randolph Rd
Charlotte, NC 28211-1018
Mailing address
2080 W Arlington Blvd
Suite B
Greenville, NC 27834-3770
Phone (252) 752-2140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689660730 | Medicaid | NC | |
| Q37230A | Other | NC | MEDICARE |
Other names 1
- Carmen Sioux Fee
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CTHOMAS442555@DIRECT.NOVANTHEALTH.ORG |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164470 | NC | MD | Registered Nurse |
| RN170518 | GA | MD | Certified Registered Nurse Anesthetist |
| 71440 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Ambulatory Anesthesia of Pinehurst, PA | Past | Accepting new patients | |
| North Fulton Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
710 Park Center Dr
Ste 100
Matthews, NC 28105
Phone (336) 718-2078
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
Interoperability endpoints
- cthomas442555@direct.novanthealth.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Pinehurst, NC
- NPI 1306867015
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1689660730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD",
"address_2": "SUITE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111018",
"telephone_number": "704-337-1647",
"fax_number": "704-377-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CARMEN",
"middle_name": "SIOUX",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN170518",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "164470",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "71440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689660730",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "Q37230A",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CTHOMAS442555@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "2825 Randolph Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282111018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "FEE",
"middle_name": "SIOUX",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.