Individual provider Active NPI

Jessica Ryan Murrell Thomas, LPN

  • Licensed Practical Nurse
  • Lake City, FL
National Provider Identifier
1861821217
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5208251 Issued in FL
Practice address
654 NW Ridgewood Ave
Lake City, FL 32055-3169
Phone
(386) 288-0252
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5208251 FL Primary

Addresses

Primary practice location

654 NW Ridgewood Ave
Lake City, FL 32055-3169

Mailing address

654 NW Ridgewood Ave
Lake City, FL 32055-3169
Phone (386) 288-0252

Other names 1

  • Ms. Jessica Ryan Maccartney Former name

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

State licenses

LicenseStateTypeSpecialty
PN5208251FLMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1861821217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 NW RIDGEWOOD AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553169",
            "telephone_number": "386-288-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 NW RIDGEWOOD AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553169",
            "telephone_number": "386-288-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRELL THOMAS",
        "first_name": "JESSICA",
        "middle_name": "RYAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5208251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MACCARTNEY",
            "middle_name": "RYAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.