Individual provider Active NPI

Aleatha D Deshields Thomas

  • Orthotic Fitter
  • Durham, NC
National Provider Identifier
1811162340
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
T36435 Issued in NC
Practice address
Dumc 3885 M04 Davison BLDG
Durham, NC 27710-0001
Phone
(919) 684-2474
Fax
(919) 681-8496
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X T36435 NC Primary

Addresses

Primary practice location

Dumc 3885 M04 Davison BLDG
Durham, NC 27710-0001

Mailing address

Dumc 3885 M04 Davison BLDG
Durham, NC 27710-0001
Phone (919) 684-2474

Other identifiers 1

IdentifierTypeStateIssuer
T36435OtherBOC MASTECTOMY FITTER

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

LicenseStateTypeSpecialty
T36435NCMDOrthotic Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthotic and Prosthetic Care of North Carolina Inc Past Accepting new patients
Center for Orthotic and Prosthetic Care of North Carolina Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1811162340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUMC 3885 M04 DAVISON BLDG",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-2474",
            "fax_number": "919-681-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUMC 3885 M04 DAVISON BLDG",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-684-2474",
            "fax_number": "919-681-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHIELDS THOMAS",
        "first_name": "ALEATHA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NC",
            "license": "T36435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC MASTECTOMY FITTER",
            "identifier": "T36435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.