Jacque Anne Thomas, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006858 Issued in CA

Practice address

529 Hillside Dr
Hazle Township, PA 18202-2858

Phone

(570) 454-3052

Fax

(570) 453-3176

NPI assigned

Dec 26, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1851712426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HILLSIDE DR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182022858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HILLSIDE DR",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182022858",
            "telephone_number": "570-454-3052",
            "fax_number": "570-453-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACQUE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013099",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Sullivan, M.S., OTR/L
• Christopher Joseph Surina, PA-C
• Molly Ann Sweeney, MS, RDN, LDN, CDE
• Lisa Marie Tacoronte, LPN
• The Carbon Schuylkill Community Hospital, Inc.
• Megan Lynn Thomas, PTA
• Natalie Thorington, C.R.N.P.
• Maxwell Eric Tolan, M.D.
• Angela Turse, LPC
• Vision Innovation Centers of Pennsylvania LLC

• Family Nurse Practitioner in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.