Mary Carolyn Thomas, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2025P Issued in KY

Practice address

801 Barret Ave Ste 210
Louisville, KY 40204-1733

Phone

(502) 587-0111

Fax

(502) 587-9112

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Thomas Becker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1811004831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-587-0111",
            "fax_number": "502-587-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BARRET AVE STE 210",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041733",
            "telephone_number": "502-587-0111",
            "fax_number": "502-587-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARY",
        "middle_name": "CAROLYN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2025P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7800403300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BECKER",
            "middle_name": "THOMAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Thomas, APRN
• Lisa Haseker Thomas
• Madeline J. Thomas, O.D., M.A.
• Mariguez Antonio Thomas
• Marita Thomas
• Mary Celeste Thomas, MSOT, OTR/L
• Matthew Brandon Thomas, DO
• Nathan Michael Thomas
• Natia Dawn Thomas, RN
• Niyabinghi N Thomas, LCSW

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.