Theresa Thomas, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00945200 Issued in NJ

Practice address

330 Federal St
Camden, NJ 08103-1149

Phone

(609) 682-0352

NPI assigned

Sep 7, 2019

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: theresa.thomas.1@29449.direct.athenahealth.com

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.

• Prevention Point Philadelphia

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1679043152
  NPD (past)

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1942859475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 VELDE AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081102542",
            "telephone_number": "609-682-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031149",
            "telephone_number": "609-682-0352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Marter Ave",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573114",
            "country_code": "US",
            "telephone_number": "856-291-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1651 Velde Ave",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081102542",
            "country_code": "US",
            "telephone_number": "609-682-0352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THERESA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00945200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deserie Thomas, BA
• Emily Thomas, CRNP
• Mark A Thomas, DO
• Niku Thomas, MD
• Sarah Mariam Thomas, PHARMD
• Adrian Rene Thompson, LCSW
• Andrea N Thompson, LCSW
• Anne Marie Thompson, APN
• Elizabeth Ann Thompson, MD
• Jenieve Venora Thompson, NP

• Primary Care Nurse Practitioner in Camden, NJ
• Providers in Camden, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.