Fred H Thomas III, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

XX Issued in OR

Practice address

331 SE 2ND St
Pendleton, OR 97801-2224

Phone

(541) 889-9167

Fax

(541) 889-7873

NPI assigned

Jul 8, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Pendleton, OR
  • NPI 1932295326
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1760645857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979140136",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SE 2ND ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012224",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FRED",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "XX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Patricia Terjeson
• Terry Wigley MD PC
• Kamala Kim Tewee, CRM, CADCR
• Holly R Thau, LCSW
• Roderick Edward Theis II, MSW, LCSW
• Gary Thomas, MS
• John Earl Thomas, QMHA
• Kelsey R Thomas
• Kimberly Kerry Thomas, CPHT
• Tiffany Thomas

• Licensed Practical Nurse in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.