Kimberly A Thome, P.A.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0422 Issued in SD

Practice address

4141 5TH St
Rapid City, SD 57701-6021

Phone

(605) 341-2424

NPI assigned

Mar 5, 2007

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902935752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 VALLEY VIEW DR",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852804",
            "telephone_number": "605-720-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016021",
            "telephone_number": "605-341-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOME",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SD",
            "license": "0422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Erick Benjamin, LLC
• Katlyn Thomas, RD
• Kelly Joe Thomas, BS MT(ASCP) CLS(NCA)
• Sandra E Thomas, LPC
• Taryn Alyssa Thomas
• Sateera Thompsen
• Alicia Mae Thompson
• Alison Thompson, RN
• Amelia Ann Thompson, RN
• Amy L Thompson, M.S., OTR/L

• Medical Physician Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Medical Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.