Active NPI
Nicole S Thomas
- Behavior Technician
- Windsor, CT
National Provider Identifier
1912667163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700 - Phone
- (860) 890-7151
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CT | Primary |
Addresses
Primary practice location
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (877) 418-2978
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1912667163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BLOOMFIELD AVE STE 301",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952700",
"telephone_number": "860-890-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NICOLE",
"middle_name": "S",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.