Individual provider Active NPI

Olaimatu Thomas, RN

  • Home Health Registered Nurse
  • Columbus, OH
National Provider Identifier
1912286162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN.425257 Issued in OH
Practice address
4158 Christy Bloom Dr
Columbus, OH 43230-4056
Phone
(614) 556-1079
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN.425257 OH Primary

Addresses

Primary practice location

4158 Christy Bloom Dr
Columbus, OH 43230-4056

Mailing address

2586 Tiller Lane
Columbus, OH 43231-4056
Phone (614) 556-1079

Other practice location 1

2240 Deewood Dr
Columbus, OH 43229-2276
Phone (614) 556-1079

Other identifiers 1

IdentifierTypeStateIssuer
1912286162OtherOHNPI

Other names 1

  • Ola Thomas Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.425257OHMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
His Grace Healthcare LLC Current Accepting new patients
His Grace Home Health Care, LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912286162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 TILLER LANE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314056",
            "telephone_number": "614-556-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 CHRISTY BLOOM DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432304056",
            "telephone_number": "614-556-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2240 Deewood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432292276",
            "country_code": "US",
            "telephone_number": "614-556-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "OLAIMATU",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "RN.425257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912286162",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLA",
            "last_name": "THOMAS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.