Brandy C Thomas, RN
Individual provider Active NPI Case Management Registered Nurse · Creighton, MO
NPI 1750196622 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1750196622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 2005032358 (MO)
- Practice address
- 40700 E 331St St
Creighton, MO 64739-8648 - Phone
- (913) 544-6488
- NPI assigned
- Feb 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005032358 | MO | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 2005032358 | MO | Yes |
Addresses
Primary practice location
40700 E 331St St
Creighton, MO 64739-8648
Mailing address
40700 E 331St St
Creighton, MO 64739-8648
Phone (913) 544-6488
Other providers in Creighton, MO
All providers in Creighton, MO · Case Management Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.