Chequan Michelle Thomas, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

236622 Issued in AR

Practice address

525 Crossroads Blvd
Bossier City, LA 71111-4867

Phone

(469) 438-8002

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, FL, AR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IABFCD

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

• Tele Med Clinix LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sanford, FL
  • NPI 1780204305

  Single Specialty

  Medicare reassignment NPD
• Abaka LLC

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1477106524
  Medicare reassignment
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment
• Tele Med Clinix Lousiana

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1346085719
  NPD
• Emd Telehealth Solutions LLC

  • Adult Medicine Physician
  • Bossier City, LA
  • NPI 1639771124

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1821375932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5860",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715860",
            "telephone_number": "469-438-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CROSSROADS BLVD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114867",
            "telephone_number": "469-438-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N 1st St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "AR",
            "postal_code": "720062307",
            "country_code": "US",
            "telephone_number": "870-731-1063",
            "fax_number": "870-731-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHEQUAN",
        "middle_name": "MICHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "236622",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP00659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wig RX LLC
• Alisa Thibodeaux
• Thomas Family and Behavioral Health Services
• Sarath Thomas Ranji
• Thomas Rodsuwan M D PMC
• Derrick Thomas
• Donna Thomas
• Eugena Thomas
• Karmesha Thomas
• Linda Thomas, LPC

• Psychiatric/Mental Health Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.