Active NPI
Kimberly Denise Thomas
- Licensed Practical Nurse
- Cleveland, OH
National Provider Identifier
1972160729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.165126.MEDS-IV
- Practice address
- 756 E 105TH St
Cleveland, OH 44108-2207 - Phone
- (216) 414-8566
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.165126.MEDS-IV | OH | Primary |
Addresses
Primary practice location
756 E 105TH St
Cleveland, OH 44108-2207
Mailing address
263 Lilac PL
Barberton, OH 44203-4227
Phone (216) 414-8566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.165126.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1972160729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 LILAC PL",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034227",
"telephone_number": "216-414-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 E 105TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441082207",
"telephone_number": "216-414-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KIMBERLY",
"middle_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2024-04-21",
"certification_date": "2024-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.165126.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.