Individual provider Active NPI

Sonia Sara Thomas, FNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1811546997
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05190675 Issued in FL
Practice address
3225 S Macdill Ave
Tampa, FL 33629-8171
Phone
(813) 451-0013
NPI assigned
Sep 10, 2019
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F05190675 FL Primary

Addresses

Primary practice location

3225 S Macdill Ave
Tampa, FL 33629-8171

Mailing address

5804 Tulip Flower Dr
Riverview, FL 33578-3735
Phone (813) 451-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114002538 FL Practitioner - Nurse Practitioner 4082049366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

3030 6TH St S
Kindred Hospital St Petersburg
St Pete, FL 33705-3720
Phone (727) 894-8719

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05190675FLMDFamily Nurse Practitioner

Organizations & group practices 1

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1811546997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 TULIP FLOWER DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783735",
            "telephone_number": "813-451-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298171",
            "telephone_number": "813-451-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SONIA",
        "middle_name": "SARA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F05190675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.