SHELBY S THOMAS (NPI# 1295377877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295377877 |
Entity Type | Individual |
Full Name | SHELBY S THOMAS |
Practice Address |
2500 N State St Jackson MS 39216-4500 |
Mailing Address |
243 Tucker Dr Brandon MS 39042-5020 |
Practice Telephone | 6628038386 |
Mailing Telephone | 6019540086 |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
R897482 | MS | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538602750 | Shelby Thomas | Specialist | 6225 Emma Ln, Colorado Springs, CO 80922-1825 | 2016-11-19 |
1043763279 | Shelby Thomas II | Technician, Other | 16300 Fairfax St, Southfield, MI 48075-3077 | 2016-07-23 |
1013567296 | Shelby Thomas | Counselor | 4120 Meridian St, Bellingham, WA 98226-6471 | 2019-09-18 |
1982144101 | Shelby Thomas | Physical Therapist | 104 N Main Street, Thomas, OK 73669 | 2017-03-07 |
1508232166 | Shelby Anne Thomas | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5227 | 2015-08-18 |
Street Address |
2500 N STATE ST |
City | JACKSON |
State | MS |
Zip Code | 39216-4500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
Find all providers in zip 39216 |
Taxonomy Code | 163WP0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962754473 | Karen Lynne Winfield | Registered Nurse | 3502 W Northside Dr, Jackson, MS 39213-4454 | 2012-10-08 |
1588984744 | Michelle Borzik Goreth | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2010-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831679638 | Faith and Friends Healthcare Staffing LLC | Registered Nurse | 130 S Church St Ste B, Florence, MS 39073-8478 | 2018-08-21 |
1346485190 | Hinds County School District | Registered Nurse | 2009 Byram Bulldog Blvd, Terry, MS 39170-8632 | 2008-12-09 |
1932641602 | Emily Gretchen Holloway | Registered Nurse | 287 Green Oak Ln, Madison, MS 39110-8213 | 2016-11-13 |
1578993267 | Caring Hands Children's Clinic, LLC | Registered Nurse | 314 Main Street, Suite D, Monticello, MS 39654 | 2013-11-18 |
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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.