Active NPI
Jessica Thomas, LPN
- Licensed Practical Nurse
- Urbana, OH
National Provider Identifier
1912249186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN130966 M IV
- Practice address
- 520 E Water St
Urbana, OH 43078 - Phone
- (937) 508-8351
- Fax
- (937) 508-4343
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN130966 M IV | OH | Primary |
Addresses
Primary practice location
520 E Water St
Urbana, OH 43078
Mailing address
507 South Main Street
Urbana, OH 43078
Phone (937) 508-8351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN130966 M IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1912249186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 SOUTH MAIN STREET",
"city": "URBANA",
"state": "OH",
"postal_code": "43078",
"telephone_number": "937-508-8351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E WATER ST",
"city": "URBANA",
"state": "OH",
"postal_code": "43078",
"telephone_number": "937-508-8351",
"fax_number": "937-508-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JESSICA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN130966 M IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.