JESSICA YVONNE THOMAS (NPI# 1669079604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669079604 |
| Entity Type | Individual |
| Full Name | JESSICA YVONNE THOMAS |
| Credential | REGISTERED NURSE |
| Practice Address |
64 Verdant Oak Aly Clarksburg MD 20871-3504 |
| Practice Telephone | 9379721930 |
| Mailing Telephone | 9379721930 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 398311 | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1083171540 | Jessica Ann Thomas | Registered Nurse | 274 Hooker Ave Apt D1, Poughkeepsie, NY 12603-3025 | 2019-02-20 |
| 1215402722 | Jessica Myers Thomas | Lactation Consultant, Non-RN | 679 Sarecta Rd, Kenansville, NC 28349-8657 | 2018-10-11 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1790208759 | Jessica Brooke Thomas | Lactation Consultant, Non-RN | 887 Holley Ct, Folsom, CA 95630-3518 | 2017-07-21 |
| 1346699923 | Jessica Thomas | Counselor | 1109 Cook Trl, Brantley, AL 36009-4130 | 2016-06-06 |
| 1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
| 1477918043 | Jessica Denise Thomas | Counselor | 1138 Pecan Blvd, Jackson, MS 39209-7146 | 2015-12-23 |
| 1912382656 | Jessica Thomas | Registered Nurse | 80600 State Rd # 258, Tippecanoe, OH 44699-9753 | 2015-07-23 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| Street Address |
64 VERDANT OAK ALY |
| City | CLARKSBURG |
| State | MD |
| Zip Code | 20871-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366097578 | Shelah Maul | Speech-Language Pathologist | Clarksburg Elementary School, 13530 Redgrave Place, Clarksburg, MD 20871 | 2019-08-05 |
| 1013401769 | Thin Phyu Bur | Social Worker | 13446 Dutrow Dr, Clarksburg, MD 20871 | 2018-06-17 |
| 1750754925 | Milankumar Maheshbhai Patel | Physical Therapist | 23923 Basil Park Circle, Clarksburg, MD 20871 | 2015-11-09 |
| 1093142796 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 22700 Sweet Shrub Drive, Clarksburg, MD 20871 | 2013-09-26 |
| 1932493046 | Chidinma Ebele | Case Management | 23447 Tailor Shop Pl, Clarksburg, MD 20871 | 2011-06-06 |
| 1396036455 | Reliance Home Care | Home Health | 12615 Blue Sky Drive, Clarksburg, MD 20871 | 2011-04-25 |
| 1063721629 | Clarksburg Medical Center Inc | Ophthalmology | 22616 Gateway Center Dr Ste 600a, Clarksburg, MD 20871 | 2010-09-30 |
| 1548440787 | Patricia J. Tucker | Social Worker | 21925 Frederick Rd, Clarksburg, MD 20871 | 2007-11-05 |
| 1316439078 | Clarksburg Dermatology and Skincare LLC | Nurse Practitioner | 23202 Brewers Tavern Way, Clarksburg, MD 20871 | 2018-05-30 |
| 1487954509 | Sean Park | Pharmacist | 7025 Brookville Rd, Chevy Chase, MD 20871 | 2010-10-22 |
| Find all providers in zip 20871 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740801588 | Matildah A Mchatta | Military Health Care Provider | 19902 Sweetgum Cir Apt 42, Germantown, MD 20874-3770 | 2020-05-04 |
| 1851927859 | Samira Wrightson | Military Health Care Provider | 5701 Granby Rd, Derwood, MD 20855-1412 | 2020-03-21 |
| 1578199535 | Ebony Andrea Peterman | Military Health Care Provider | 4915 Hampden Ln Unit 103, Bethesda, MD 20814-3699 | 2020-03-20 |
| 1346723012 | Bivor Shrestha | Military Health Care Provider | 546 Salisbury Pl, Prince Frederick, MD 20678-3152 | 2018-09-10 |
| 1861974990 | Suzanna Hopkins | Military Health Care Provider | 4301 Jones Bridge Rd Rm 1040, Bethesda, MD 20814-4799 | 2018-09-05 |
| 1104346436 | Darrell J Fisher | Military Health Care Provider | 7903 Crows Nest Court, Laurel, MD 20707 | 2017-06-27 |
| 1346760634 | Laura Christine Barba-ruiz | Military Health Care Provider | 8901 Rockville Pike Internal Medicine, Bethesda, MD 20889-0001 | 2017-06-27 |
| 1477936235 | Anna Marie Pepe | Military Health Care Provider | 15601 Barnesville Rd, Boyds, MD 20841-9403 | 2015-06-29 |
| 1487984233 | Suzanne Marie Gillern | Military Health Care Provider | 10157 Sutherland Rd, Silver Spring, MD 20901-2421 | 2009-12-29 |
| 1437482478 | Timothy Edward Scott | Military Health Care Provider | 414 Water St, Appt 2201, Baltimore, MD 21202-3203 | 2009-09-09 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 20871 |
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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.