Kimberly Ann Thomas, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ15265700 Issued in NJ

Practice address

1505 W Sherman Ave Ste 101
Vineland, NJ 08360-7059

Phone

(856) 696-9550

Fax

(856) 691-1686

NPI assigned

Feb 11, 2025

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shore Memorial HospitalGroup PAC ID 1052493202, 18 clinicians

Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816
  Medicare reassignment Care Compare group NPD
• Shore Memorial Hospital

  dba SMH Professional Services

  • Hematology & Oncology Physician
  • Somers Point, NJ
  • NPI 1689795338
  Medicare reassignment Care Compare group NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Millville, NJ
  • NPI 1063715332
  NPD (past)
• Southern Oncology Hematology Assoc

  • Specialist
  • Vineland, NJ
  • NPI 1144211087
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Shore Memorial Hospital

  • General Acute Care Hospital
  • Somers Point, NJ
  • NPI 1629070149
  Care Compare affiliation

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1699580167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ORCHARD LN",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282946",
            "telephone_number": "856-553-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE STE 101",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "856-696-9550",
            "fax_number": "856-691-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15265700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Southwest Council, Inc.
• The Wellness Center, a Chiropractic Place, LLC
• Barbara J Thibodeau, APN-C
• David H Thomas, D.M.D
• Janine T Thomas, HAD
• Raymond Roger Lamont Thomas
• Robert L Thomas, PA
• Unika Thomas
• Antoinette Thompson
• Kate Thompson

• Nurse Practitioner in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.