Stephanie Lorraine Thomas

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

200172615 Issued in KY

Practice address

111 Fiddlers Ridge Rd
Vine Grove, KY 40175-1265

Phone

(270) 501-0382

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By 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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1770086977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIDDLERS RIDGE RD",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751265",
            "telephone_number": "270-501-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIDDLERS RIDGE RD",
            "city": "VINE GROVE",
            "state": "KY",
            "postal_code": "401751265",
            "telephone_number": "270-501-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHANIE",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "200172615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendi L Skeeters, PTA
• Kayla J Snodgrass
• Jamie Lynn Summitt, M.S, CCC/SLP
• Adrianna Marie Tantillo
• Adriana Tase Tenrrero, DMD
• Hannah Ryan Travis
• Michael A Trotta, BCBA, LBA
• Vine Grove Family Medicine PSC
• Jenna Brielle Walker
• Mikayla Maire Wright

• Developmental Therapist in Vine Grove, KY
• Providers in Vine Grove, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.