ALEXANDRA LYNN THOMAS (NPI# 1689121246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689121246 |
| Entity Type | Individual |
| Full Name | ALEXANDRA LYNN THOMAS |
| Credential | PA-C |
| Practice Address |
1701 W Broadway Council Bluffs IA 51501-3822 |
| Practice Telephone | 7122565600 |
| Practice Fax Number | 7122563440 |
| Mailing Telephone | 7122565600 |
| Mailing Fax Number | 7122563440 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9109945 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
083667 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715582 | Alexandra Rene Thomas | Physician Assistant | 4383 N Parkway Ave Apt 506, Scottsdale, AZ 85251-4025 | 2020-03-12 |
| 1518408558 | Alexandra Leigh Thomas | Occupational Therapist | 10912 Hobbs Station Rd, Louisville, KY 40223-5591 | 2017-03-09 |
| 1477090405 | Alexandra Thomas | Occupational Therapist | 1721 E 7th St, Apt 17, Charlotte, NC 28204-2485 | 2017-01-29 |
| 1447610944 | Alexandra Danielle Thomas | Pharmacist | 46 Leacliff Ln, West Seneca, NY 14224-3518 | 2016-02-26 |
| 1568776839 | Alexandra Domas Thomas | Developmental Therapist | 1660 N. Lasalle, Unit 3804, Chicago, IL 60614 | 2010-07-29 |
| 1679170146 | Alexandra Thomas | Behavior Technician | 8130 E Cactus Rd, Suite 510, Scottsdale, AZ 85260-5263 | 2020-10-07 |
| 1699395525 | Alexandra Thomas | Behavior Technician | 2400 Science Pkwy, Okemos, MI 48864-2560 | 2020-04-21 |
| 1437788833 | Alexandra Amedea Thomas | Student in an Organized Health Care Education/Training Program | 1542 Tulane Ave Rm 554a, New Orleans, LA 70112-2865 | 2020-04-07 |
| 1326687419 | Alexandra Nicole Thomas | Occupational Therapist | 3600 Saunders Ave, Richmond, VA 23227-4328 | 2020-01-06 |
| 1649730169 | Alexandra Moran Thomas | Student in an Organized Health Care Education/Training Program | 912 S Wood St, Chicago, IL 60612-4300 | 2019-03-21 |
| Street Address |
1701 W BROADWAY |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51501-3822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
| 1922458959 | Laura Quinnette | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2016-06-21 |
| 1538518311 | Laura Rose Badalucco | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2016-06-13 |
| 1457742587 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204691 | Melissa Sue Sperry | Counselor | Melissa Sperry, 4036 Ramelle Dr, Council Bluffs, IA 51501 | 2020-08-06 |
| 1326689076 | Crc Recovery, Inc. | Clinic/Center | 1750 W Broadway, Council Bluffs, IA 51501 | 2019-10-03 |
| 1518451152 | Naomi Kigondu | Registered Nurse | 2323 W Broadway Ste 100, Council Bluffs, IA 51501 | 2018-06-18 |
| 1710400361 | Travis John Alger | Chiropractor | 3424 W Broadway, Council Bluffs, IA 51501 | 2017-07-25 |
| 1124495692 | Jillian Kahl | Speech-Language Pathologist | 1500 N 16th St, Council Bluffs, IA 51501 | 2015-08-31 |
| 1932584323 | Leigh Healey | Dietitian, Registered | 2323 West Broadway, Council Bluffs, IA 51501 | 2015-07-27 |
| 1942558523 | Karen Irene Godin | Registered Nurse | 1702 N 16th Street, Council Bluffs, IA 51501 | 2012-08-29 |
| 1063787505 | Rebecca F Aboe | Dietitian, Registered | 1702 North 16th St., Council Bluffs, IA 51501 | 2012-03-16 |
| 1972883122 | Sara Ann Lott | Occupational Therapist | 1310 N. 17th St., Council Bluffs, IA 51501 | 2011-08-19 |
| 1700042884 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 3271 Marketplace Dr, Council Bluffs, IA 51501 | 2008-07-29 |
| Find all providers in zip 51501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124956 | Michaela J Maliszewski | Physician Assistant | 201 Ridge St Ste 302, Council Bluffs, IA 51503-4643 | 2020-05-01 |
| 1427396670 | Alexa Nicole Grzywa | Physician Assistant | 1 Edmundson Pl Ste 306, Council Bluffs, IA 51503-4620 | 2013-01-23 |
| 1215281282 | Wyatt Allen Schmidt | Physician Assistant | 3502 Metro Drive, Suite 200, Council Bluffs, IA 51501-7724 | 2012-10-30 |
| 1285791186 | Joyce Vacek | Physician Assistant | 2201 W Broadway Ste 9, Council Bluffs, IA 51501-3605 | 2007-01-02 |
| 1184657603 | Sara Rygol | Physician Assistant | 2201 W Broadway, Suite 9, Council Bluffs, IA 51501-3605 | 2006-07-08 |
| 1770558025 | Denise L Honner | Physician Assistant | 1604 2nd Ave, Council Bluffs, IA 51501 | 2006-02-21 |
| 1235761107 | Jared J Scherer | Physician Assistant | 1288 Valley View Dr, Council Bluffs, IA 51503-5245 | 2020-02-10 |
| 1427515402 | Katelyn C Birkett | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2019-02-26 |
| 1972080331 | Nancy Hall Pettit | Physician Assistant | 320 Mckenzie Ave, Suite 201, Council Bluffs, IA 51503 | 2018-07-27 |
| 1689175093 | Brenna L Rasmussen | Physician Assistant | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2018-02-22 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51501 |
Please comment or provide details below to improve the information on ALEXANDRA LYNN 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.