Active NPI
Dyanna Marie Thomas
- Home Health Agency
- Rome, NY
National Provider Identifier
1770157257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2104190033
- Practice address
- 419 Mayberry Rd
Rome, NY 13440-5509 - Phone
- (315) 941-1445
- NPI assigned
- May 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2104190033 | NY | Primary |
Addresses
Primary practice location
419 Mayberry Rd
Rome, NY 13440-5509
Mailing address
419 Mayberry Rd
Rome, NY 13440-5509
Phone (315) 941-1445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2104190033 | NY | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1770157257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 MAYBERRY RD",
"city": "ROME",
"state": "NY",
"postal_code": "134405509",
"telephone_number": "315-941-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 MAYBERRY RD",
"city": "ROME",
"state": "NY",
"postal_code": "134405509",
"telephone_number": "315-941-1445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DYANNA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "2104190033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.