Individual provider Active NPI

Khadie Thomas, CNP

  • Family Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1831679612
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP.022992 Issued in OH
Practice address
1649 Brice Rd Ste C
Reynoldsburg, OH 43068-2796
Phone
(740) 300-1878
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP.022992 OH Primary

Addresses

Primary practice location

1649 Brice Rd Ste C
Reynoldsburg, OH 43068-2796

Mailing address

8917 Hickory View St
Canal Winchester, OH 43110-8057
Phone (614) 893-6800

Other identifiers 1

IdentifierTypeStateIssuer
CNP.022992OtherOHOHIO LICENSE

Other names 1

  • Khadie Laggah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190719002359 OH Practitioner - Nurse Practitioner 3072849629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Step Recovery CenterGroup PAC ID 3375823115, 10 clinicians

Practice addresses (Care Compare)

1649 Brice Rd
Suite C
Reynoldsburg, OH 43068-2796
Phone (614) 300-5878

6161 Busch Blvd
Suite 315
Columbus, OH 43229-2556
Phone (740) 822-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP.022992OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia and Pain Management LLC CurrentSince May 7, 2019 Accepting new patients
First Step Recovery Center CurrentSince Aug 1, 2019 Accepting new patients
First Step Recovery Center CurrentSince Aug 1, 2019 Accepting new patients
Independence Healthcare LLC CurrentSince Dec 27, 2023 Accepting new patients
Anesthesia and Pain Management LLC PastSince Jun 26, 2022 Accepting new patients
First Step Recovery Center Past Accepting new patients

Locations

2619 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 280-4541

4595 Walnut Rd
Ste L
Buckeye Lake, OH 43008
Phone (614) 893-6800

200 N High St
Unit 142
Canal Winchester, OH 43110

6161 Busch Blvd
Ste 200
Columbus, OH 43229
Phone (612) 363-0962

6161 Busch Blvd
Ste 315
Columbus, OH 43229
Phone (740) 822-0080

813 Bryden Rd
Columbus, OH 43205
Phone (614) 392-7253

6161 Busch Blvd
Ste 200201
Columbus, OH 43229
Phone (380) 203-2886

241 Paddock Ct
Delaware, OH 43015
Phone (740) 362-8686

2628 Kull Rd
Lancaster, OH 43130
Phone (614) 300-1878

1271 Crescent Heights Rd
Ste 200
Marion, OH 43302
Phone (614) 808-3192

245 Saint James St
Marion, OH 43302
Phone (740) 341-2067

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

1563 Brice Rd
Reynoldsburg, OH 43068

Interoperability endpoints

  • Direct secure messaging: khadie.thomas@4280.securemail.prognocis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1831679612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8917 HICKORY VIEW ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108057",
            "telephone_number": "614-893-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 BRICE RD STE C",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682796",
            "telephone_number": "740-300-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KHADIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.022992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "CNP.022992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADIE",
            "last_name": "LAGGAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.