Susan Thomas, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307949 Issued in NY

Practice address

1 South Ave
Garden City, NY 11530-4213

Phone

(800) 233-5744

NPI assigned

Feb 9, 2017

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: susanthomas2@nslijmedgr.allscriptsdirect.net

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1972041010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DYCKMAN AVE",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-833-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTH AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304213",
            "telephone_number": "800-233-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Thomas
• Aliza Shynelle Thomas, LCSW
• Ancy Thomas, NP
• Flessy Thomas, RN
• Jaycy Thomas, NP
• Tracie Anne Thomson, ATC
• Melissa Jane Thorp, PT
• Jacqueline Eileen Tierney, ATC
• Susan Gail Tierney, DDS
• Runita Timal, LCSW

• Adult Health Nurse Practitioner in Garden City, NY
• Providers in Garden City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.