Nicole Renee Thomas, L.P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

270438-1 Issued in NY

Practice address

145 Jaclyn Dr
Syracuse, NY 13205-3259

Phone

(315) 751-4674

NPI assigned

Jan 30, 2008

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

Other names 1

• Ms. Nicole Renee Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1982881116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 JACLYN DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053259",
            "telephone_number": "315-751-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 JACLYN DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053259",
            "telephone_number": "315-751-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "L.P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "270438-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "THOMAS",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "L.P.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kassandra Lynn Thomas
• Lisa G Thomas, RD
• Mary Jean Thomas, FNP
• Mathew B Thomas, MBBS
• Melissa Ann Thomas, PA
• P. Sebastian Thomas
• Regine Thomas
• Robin L Thomas, RN
• Shirley L Thomas, LPN
• Stephen J Thomas, MD

• Licensed Practical Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.