Sally J Thomas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F330789 Issued in NY

Practice address

10 Maple Ave
Bloomfield, NY 14469-9312

Phone

(585) 657-0045

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bloomfield Family Practice, P.C.

  • Family Medicine Physician
  • Canandaigua, NY
  • NPI 1639184336
  NPD (past)
• Newark Manor Nursing Home, Inc.

  • Skilled Nursing Facility
  • Newark, NY
  • NPI 1407851629
  NPD (past)
• The Frederick Ferris Thompson Hospital

  dba UR Medicine Thompson Health Victor Medical Group Pharmacy

  • Community/Retail Pharmacy
  • Victor, NY
  • NPI 1831914274
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891890547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WOODBINE PARK",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541184",
            "telephone_number": "585-245-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAPLE AVE",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699312",
            "telephone_number": "585-657-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SALLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Pathways Counseling
• Jennifer Schroeder
• Seneca Gorham Security Systems, Inc.
• Suellen Sickles, LPN
• Paula A Sossong, LMSW
• Sharon F Torres
• Kim Ann Valone, LPN
• Nikolle Margaret Van Stralen, OTR/L
• Virtual Mechanical Physical Therapy, PLLC
• Brian Daniel Westlake, P.T.

• Nurse Practitioner in Bloomfield, NY
• Providers in Bloomfield, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.