Individual provider Active NPI

Marquita Thomas, APRN

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1871274845
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4007360 Issued in KY
Practice address
14892 N US Highway 25 E Ste 11
Corbin, KY 40701-6190
Phone
(606) 727-2690
Fax
(606) 727-2699
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 4007360 KY Primary

Addresses

Primary practice location

14892 N US Highway 25 E Ste 11
Corbin, KY 40701-6190

Mailing address

14892 N US Highway 25 E Ste 11
Corbin, KY 40701-6190
Phone (606) 727-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240501002665 KY Practitioner - Nurse Practitioner 5193165611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4007360KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In House Primary Care Services PLLC CurrentSince Mar 10, 2024 Accepting new patients

Organizations & group practices 1

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1871274845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14892 N US HIGHWAY 25 E STE 11",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016190",
            "telephone_number": "606-727-2690",
            "fax_number": "606-727-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14892 N US HIGHWAY 25 E STE 11",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016190",
            "telephone_number": "606-727-2690",
            "fax_number": "606-727-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARQUITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4007360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.