Kelli Rae Thornburg, LPN, WOCN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703105850 Issued in MI

Practice address

7820 Whittaker Rd
Ypsilanti, MI 48197-9775

Phone

(734) 660-8183

Fax

(734) 547-5832

NPI assigned

Nov 25, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511568000000",
    "number": "1922512292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979775",
            "telephone_number": "734-660-8183",
            "fax_number": "734-547-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979775",
            "telephone_number": "734-660-8183",
            "fax_number": "734-547-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURG",
        "first_name": "KELLI",
        "middle_name": "RAE",
        "credential": "LPN, WOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-25",
        "last_updated": "2017-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703105850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy L. Thomas, RN
• Ryan William Thomas, PA-C
• Stephen Thomas, P.A.
• Asia R Thompson, LLBSW
• Rihanna J Thompson
• Johanna Elaine Thornsberry, N.P.
• Rosemary Mackraz Thornton, PA-C
• Thorrez Medical Practice PLC
• David C Thorrez, M.D.
• Brandon Thorson, PT, DPT

• Licensed Practical Nurse in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2017; 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.