Forneccea Thomas

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

163 Camellia PL
Grambling, LA 71245-2320

Phone

(318) 433-0647

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• A&G Medical Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Grambling, LA
  • NPI 1366138505
  NPD Authorized official

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831899814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 CAMELLIA PL",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452320",
            "telephone_number": "318-433-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 CAMELLIA PL",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452320",
            "telephone_number": "318-433-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "FORNECCEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Care at Home II
• Shonitta Latrice Rallins
• Charlotte Maria Shyne, LCSW
• Sabina Laura Sylvain, NP
• Makesa Koran Tavernier
• Treman Health LLC
• Dionne Sheri Williams, PLPC
• Amia Wright

• Driver in Grambling, LA
• Providers in Grambling, LA by specialty
• Driver in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.