ANGELA BLAKE THOMAS (NPI# 1538589601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538589601 |
| Entity Type | Individual |
| Full Name | ANGELA BLAKE THOMAS |
| Credential | FNP-C |
| Practice Address |
710 Highway 371 710 Hwy. 371 Mooreville MS 38857-7356 |
| Mailing Address |
860 S Madison St Tupelo MS 38801-4905 |
| Practice Telephone | 6628404577 |
| Mailing Telephone | 6623777150 |
| Mailing Fax Number | 6623777155 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R879736 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03228399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416419 | Angela Marie Thomas | Nurse Practitioner | 2345 W Hillsboro Blvd Ste 205, Deerfield Beach, FL 33442-1111 | 2020-01-22 |
| 1790326429 | Angela Thomas | Technician | 1419 Kingswood St, Richmond, VA 23224-3201 | 2019-10-03 |
| 1548818693 | Angela Yvette Thomas | Massage Therapist | 3634 Cedar Bluff Ct, Douglasville, GA 30135-7657 | 2019-09-02 |
| 1649735374 | Angela Monique Thomas | Counselor | 19200 Space Center Blvd Apt 412, Houston, TX 77058-3840 | 2019-02-06 |
| 1194208082 | Angela Christine Thomas | Technician | 16471 N Us Highway 277, San Angelo, TX 76905-8957 | 2018-09-07 |
| 1114405495 | Angela Christina Thomas | Counselor | 1633 Newcomb Ave, San Francisco, CA 94124-2318 | 2018-07-30 |
| 1639671365 | Angela C Thomas | Occupational Therapist | 2853 Park Ave, Manchester, MD 21102-1823 | 2018-03-08 |
| 1710488093 | Angela Denise Thomas | Nurse's Aide | 302 S 13th St, Bismarck, ND 58504-6045 | 2018-02-22 |
| 1518465962 | Angela Thomas | Physical Therapist | 3000 N Triumph Blvd Ste 310, Lehi, UT 84043-4999 | 2018-01-30 |
| 1376050344 | Angela Dawn Thomas | Audiologist-Hearing Aid Fitter | 559 E Center St, Marion, OH 43302-4233 | 2017-12-29 |
| Street Address |
710 HIGHWAY 371 710 HWY. 371 |
| City | MOOREVILLE |
| State | MS |
| Zip Code | 38857-7356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619298536 | Acute Care & Family Clinic of Mooreville | Nurse Practitioner | 710 Highway 371, Mooreville, MS 38857 | 2010-06-15 |
| 1306211164 | Jessica N Hicks-robertson | Nurse Practitioner | 710 Highway 371, Mooreville, MS 38857-7356 | 2015-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096127 | Sarah Freeman Adams | Nurse Practitioner | 710 Ms -371, Mooreville, MS 38857 | 2020-09-03 |
| 1881162857 | Sonshine Pharmacy, LLC | Pharmacy | 712 Highway 371, Mooreville, MS 38857 | 2018-11-08 |
| 1356940803 | Elizabeth Marie Cole | Registered Nurse | 100 Sandpiper Cv, Mooreville, MS 38857-6012 | 2020-10-25 |
| 1568764256 | Heather N Holt | Physical Therapy Assistant | 293 County Road 1400, Mooreville, MS 38857-6919 | 2010-12-01 |
| 1982813077 | Gayla R Estes | Nurse Anesthetist, Certified Registered | 680 Road 1310, Mooreville, MS 38857-7017 | 2007-05-22 |
| 1932575008 | Audra Winter | Physical Therapist | 123 Drive 1345, Mooreville, MS 38857-7128 | 2015-08-12 |
| 1689791105 | Cheri Delilah Ann Beck | Registered Nurse | 804 Road 1349, Mooreville, MS 38857-7325 | 2007-03-22 |
| 1669956553 | Susan Willis | Pharmacist | 712 Highway 371, Mooreville, MS 38857-7356 | 2018-09-18 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619298536 | Acute Care & Family Clinic of Mooreville | Nurse Practitioner | 710 Highway 371, Mooreville, MS 38857 | 2010-06-15 |
| 1306211164 | Jessica N Hicks-robertson | Nurse Practitioner | 710 Highway 371, Mooreville, MS 38857-7356 | 2015-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | MOOREVILLE |
| Zip Code | 38857 |
Please comment or provide details below to improve the information on ANGELA BLAKE THOMAS.
| 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.