Active NPI
Ebony Thomas
- Attendant Care Provider
- California, MD
National Provider Identifier
1851932412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 23560 FDR Blvd
#402
California, MD 20619 - Phone
- (240) 925-1801
- NPI assigned
- Oct 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
23560 FDR Blvd
#402
California, MD 20619
Mailing address
18490 Matthews Dr
Lexington Park, MD 20653-3573
Phone (832) 530-2674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1851932412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18490 MATTHEWS DR",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "206533573",
"telephone_number": "832-530-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23560 FDR BLVD",
"address_2": "#402",
"city": "CALIFORNIA",
"state": "MD",
"postal_code": "20619",
"telephone_number": "240-925-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "EBONY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in California, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.