Thomas Family Practice Family Health NP Services PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THOMAS FAMILY PRACTICE FAMILY HEALTH NP SERVICES PLLC

Practice address

6 Gramatan Ave Ste 402
Mount Vernon, NY 10550-3209

Phone

(914) 434-3641

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Shauntay ThomasNPI 1750786554

Title

NP/Owner

Phone

(914) 434-3641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shauntay Thomas, NP

  • Family Nurse Practitioner
  • Mount Vernon, NY
  • NPI 1750786554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1891370243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 402",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503209",
            "telephone_number": "914-434-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 402",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503209",
            "telephone_number": "914-434-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS FAMILY PRACTICE FAMILY HEALTH NP SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHAUNTAY",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "914-434-3641"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Millicent Thomas, LPN
• Rebecca Thomas, LPN

• Family Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.