Shandra Tre'Nise Thomas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08123 Issued in LA

Practice address

1402 S Magnolia St
Suite a
Hammond, LA 70403-5020

Phone

(985) 247-4567

Fax

(985) 269-7091

NPI assigned

Jan 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shandra Tre'Nise Thomas Professional name

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6546/brand/1/csg/1/fhir/r4

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.

• Integrated Pain and Neuroscience

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1427397793
  Medicare reassignment NPD
• Diabetes Care Solution, LLC

  • Rural Health Clinic/Center
  • Hammond, LA
  • NPI 1245509975
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1902295017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S MAGNOLIA ST",
            "address_2": "SUITE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-247-4567",
            "fax_number": "985-269-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S MAGNOLIA ST",
            "address_2": "SUITE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-247-4567",
            "fax_number": "985-269-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHANDRA",
        "middle_name": "TRE'NISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANDRA",
            "last_name": "THOMAS",
            "middle_name": "TRE'NISE",
            "credential": "APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Collin Thomas, APRN, CPNP
• Denise Ann Thomas, NURSE PRACTITIONER
• Kevin Thomas
• Penny Meyers Thomas
• Quinton Dwayne Thomas
• Somiya Thomas
• Taylor Ann Thomas
• Jasmine Thompson
• Jonathan Dean Thompson, M.D.
• Monica Rome Thompson, MHS

• Family Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.