Wendy B Thomas, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN10965 Issued in TN

Practice address

131 Tucker Street
Suite 5 - Professional Anesthesia Associates
Jackson, TN 38301-4055

Phone

(731) 541-5000

Fax

(731) 541-7075

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• St Jude Children's Research Hospital, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1306335088
  Medicare reassignment

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1962498626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 TUCKER STREET",
            "address_2": "SUITE 5 - PROFESSIONAL ANESTHESIA ASSOCIATES",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "888-358-0933",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TUCKER STREET",
            "address_2": "SUITE 5 - PROFESSIONAL ANESTHESIA ASSOCIATES",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383014055",
            "telephone_number": "731-541-5000",
            "fax_number": "731-541-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WENDY",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN96821",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN10965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3624940",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Thomas, LPN
• Chelsey Thomas
• Kaitlyn Michelle Thomas
• Mary Louise Thomas, CASE MANAGER
• Staci Renee Thomas, CNM
• Carla Andreas Thompson, M.A. CCC-SLP
• Erin Kimberly Thompson, OT
• Lisa Garner Thompson, RDH
• Mary Elizabeth Thompson, BSW
• Megan Thompson, MS, RDN, LDN

• Certified Registered Nurse Anesthetist in Jackson, TN
• Providers in Jackson, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.