Keila Annette Thomas, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9216469 Issued in FL

Practice address

5579 NW Commodore Ter
Port St Lucie, FL 34983-2304

Phone

(772) 631-4518

NPI assigned

Mar 23, 2020

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

Other names 1

• Keila Annette Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• A Kee to Paradise LLC

  • Assisted Living Facility
  • Port St Lucie, FL
  • NPI 1124690474
  NPD

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1760018683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KEILATHOMAS",
            "address_2": "5579 NW COMMODORE TERRACE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-631-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5579 NW COMMODORE TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832304",
            "telephone_number": "772-631-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEILA",
        "middle_name": "ANNETTE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9216469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEILA",
            "last_name": "HARRIS",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Therapy Connection of the Treasure Coast
• Marie Thermidor
• Trenton Thibideau
• Desiraee J Thomas
• Kaeli Amanda Thomas
• Otisha Thomas
• Sharron A Thomas, LCSW
• Carmika Thompson
• Raychell Thompson, CNA
• Toniann Thompson, MSW

• All providers in Port St Lucie, FL
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.