REGINA RENEE THOMAS (NPI# 1114559622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114559622 |
| Entity Type | Individual |
| Full Name | REGINA RENEE THOMAS |
| Practice Address |
16940 Highway 14 Ste C-j Mojave CA 93501-1238 |
| Practice Telephone | 6618245020 |
| Practice Fax Number | 6618245026 |
| Mailing Telephone | 6618245020 |
| Mailing Fax Number | 6618245026 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124972 | Regina Thomas | Specialist | 4364 Western Center Blvd # 139, Fort Worth, TX 76137-2043 | 2020-04-30 |
| 1154976645 | Regina Thomas | Counselor | 3714 Over Dr, Hope Mills, NC 28348-1756 | 2019-08-02 |
| 1235574104 | Regina Thomas | Counselor | 110 Friars Ct, Bolingbrook, IL 60440-2007 | 2013-05-06 |
| 1619274560 | Regina Marie Thomas | Registered Nurse | 817 W Vliet St Apt 594, Milwaukee, WI 53205-2551 | 2011-02-11 |
| 1881832541 | Regina T Thomas | Developmental Therapist | 13101 Bruce B Downs Blvd, Tampa, FL 33612-3803 | 2009-02-03 |
| 1306986112 | Regina Stone Thomas | Counselor | 1112 Main St, Vilonia, AR 72173 | 2007-02-08 |
| Street Address |
16940 HIGHWAY 14 STE C-J |
| City | MOJAVE |
| State | CA |
| Zip Code | 93501-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669547154 | Valerie Lucille Gordon | Counselor | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2006-11-21 |
| 1316583842 | Latischa Marie Wells | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2019-11-19 |
| 1639736648 | Lashaunda Burnside | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2019-05-24 |
| 1629633342 | Breonna Nicole Mcfarland | Counselor | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2019-05-08 |
| 1447713151 | Jessica Wilson | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2019-04-09 |
| 1811466899 | Karina Salgado | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2018-11-19 |
| 1215447305 | Darrell Antonio Jones Jr. | Student in an Organized Health Care Education/Training Program | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2017-10-03 |
| 1285157032 | Ebubeze Anene | Rehabilitation Practitioner | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2017-07-24 |
| 1215469903 | Alejandro Chetto | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2017-03-31 |
| 1750824785 | Maricia Williams | Case Manager/Care Coordinator | 16940 Highway 14 Ste C-j, Mojave, CA 93501-1238 | 2016-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247767 | Vilma Ruvalcaba | Case Manager/Care Coordinator | 16940 Hwy 14, C-j, Mojave, CA 93501 | 2017-07-14 |
| 1407378326 | Sabrina L Hall | Licensed Vocational Nurse | 16940 Hwy 14, Suites C-j, Mojave, CA 93501 | 2017-07-12 |
| 1295185890 | Mariana Lopez Calderon | Case Manager/Care Coordinator | 16940 Hwy 14 #c-j, Mojave, CA 93501 | 2016-06-15 |
| 1063874154 | Catlin Lovejoy | Licensed Vocational Nurse | 16940 Hwy 14, Suite #c-h, Mojave, CA 93501 | 2016-03-28 |
| 1306031489 | Joanna Lynn Easley | Counselor | 16949 Highway 14 Ste H, Mojave, CA 93501 | 2007-09-11 |
| 1912342148 | Antonio Montiel Jr. | Counselor | 16940 State Highway 14, Mojave, CA 93501 | 2013-05-01 |
| 1023165933 | Mojave Unified School District | Local Education Agency (LEA) | 3500 Douglas Ave, Mojave, CA 93501-1143 | 2007-01-04 |
| 1336433051 | Ashmead Ali | Clinic/Center | 16914 Highway 14, Mojave, CA 93501-1226 | 2011-05-31 |
| 1477613610 | Mojave Pharmacy Inc | Pharmacy | 16912 Highway 14, Mojave, CA 93501-1226 | 2006-12-11 |
| 1336159870 | Tan Minh Do | Pharmacist | 16912 State Highway 14, Mojave, CA 93501-1226 | 2006-08-08 |
| Find all providers in zip 93501 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749213 | Jorge Lepe | Peer Specialist | 16940 Highway 14 Ste C, Mojave, CA 93501-1238 | 2020-01-16 |
| 1245898261 | Edward Amir Hillman | Peer Specialist | 16940 Highway 14, Mojave, CA 93501-1238 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477629 | Karen J Pompa | Peer Specialist | 2605 E Date Palm Paseo Apt 2194, Ontario, CA 91764-4670 | 2020-11-05 |
| 1033710231 | Marcus Kujawa | Peer Specialist | 85 Ramona Expy Ste 13, Perris, CA 92571-7014 | 2020-11-04 |
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1043826753 | Dayjahnay Shantay Davenport | Peer Specialist | 3347 Lincoln Ave, San Diego, CA 92104-2111 | 2020-09-17 |
| 1497364848 | Marissa Adrianna Garza | Peer Specialist | 1502 Verona Ct, Salinas, CA 93905-2249 | 2020-07-30 |
| 1235765801 | Jill Nina Bierman | Peer Specialist | 25322 Via Piedra Roja, Laguna Niguel, CA 92677-1824 | 2020-03-16 |
| 1427683101 | Gerardo Castro | Peer Specialist | 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134 | 2020-03-03 |
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.