Kimberly Thomas
Individual provider Active NPI Attendant Care Provider · Jackson, NC
NPI 1962096214 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1962096214
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 108 E Calhoun St
Jackson, NC 27845-9429 - Phone
- (252) 538-1045
- NPI assigned
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | NC | Yes |
Addresses
Primary practice location
108 E Calhoun St
Jackson, NC 27845-9429
Mailing address
108 E Calhoun St
Jackson, NC 27845-9429
Phone (252) 538-1045
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | ||
| Other URL | n/a |
Other providers in Jackson, NC
- Sega Sikod
- Lauren Simmons
- Cheryl Cherry Stevenson
- Tar River LTC Group, LLC
- The Renaissance House
- Uplift Comprehensive Services
All providers in Jackson, NC · Attendant Care Provider in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.