Mildred L Thomas, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

290596-1 Issued in NY

Practice address

41 Princeton St
1964
Bay Shore, NY 11706-4209

Phone

(631) 666-5898

Fax

(631) 666-5898

NPI assigned

May 17, 2011

Last updated

May 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1710270228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PRINCETON ST",
            "address_2": "1964",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064209",
            "telephone_number": "631-666-5898",
            "fax_number": "631-666-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PRINCETON ST",
            "address_2": "1964",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064209",
            "telephone_number": "631-666-5898",
            "fax_number": "631-666-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MILDRED",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "290596-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vani Thiyagarajan, PHARMD
• Betsy Thomas
• Chelsea Megan Thomas
• Justin Michael Thomas, M.D.
• Mary Meena Thomas, DO
• Kessler Thompson
• Jannine Marie Thorp, RPA-C
• Smitha Mary Thotam, NP
• Heather Tier, MD
• Matthew Trevor Tiffany, M.D.

• Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.