Desiree Thomas

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36002109A Issued in IN

Practice address

2021 Chester Blvd
Richmond, IN 47374-1235

Phone

(765) 983-3092

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1902274764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 PARKDALE DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741642",
            "telephone_number": "812-243-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741235",
            "telephone_number": "765-983-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36002109A",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT.004133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Health and Hospital Corporation of Marion County
• Anthony Alan Thomalla, PH.D.
• Thomas W Huth MD
• Brea Danielle Thomas, D.O.
• Dan Thomas, MS, RD, CNSD, CD
• Jacob Ryan Thomas
• Kayla Jo Thomas, FNP-BC
• Sierra Thomas, RBT
• Adam Tyler Thompson
• Ashton Thompson

• Athletic Trainer in Richmond, IN
• Providers in Richmond, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.