BRENDA THOMASON (NPI# 1003012287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003012287 |
| Entity Type | Individual |
| Full Name | BRENDA THOMASON |
| Credential | APRN |
| Practice Address |
3510 Magnolia Cv Monroe LA 71203-2372 |
| Mailing Address |
3801 Deborah Dr Monroe LA 71201-2111 |
| Practice Telephone | 3183231100 |
| Practice Fax Number | 3183231161 |
| Mailing Telephone | 3183235688 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1664821 | 05 | |
| LA | TDK AMC GROUP AID PROVIDE | 1442399 | 01 |
| Street Address |
3510 MAGNOLIA CV |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474128 | Don F Marx | Urology | 3510 Magnolia Cv, Suite 170, Monroe, LA 71203-2372 | 2005-08-15 |
| 1598024812 | Saad Electrophysiology & Cardiology Inc | Internal Medicine | 3510 Magnolia Cv, Suite 100, Monroe, LA 71203-2372 | 2012-05-07 |
| 1285929398 | Affinity Health Group, LLC | Internal Medicine | 3510 Magnolia Cv, Ste 120, Monroe, LA 71203-2372 | 2011-06-16 |
| 1891094843 | Don F Marx Md A Medical Corporation | Urology | 3510 Magnolia Cv, Ste 170, Monroe, LA 71203-2372 | 2011-03-16 |
| 1053626945 | J Dean Stockstill Md, A Professional Medical Corporation | Family Medicine | 3510 Magnolia Cv, Suite 190, Monroe, LA 71203-2372 | 2010-08-16 |
| 1750407482 | Richard D. Smith, Jr., Md, Apmc | Internal Medicine | 3510 Magnolia Cv, Suite 120, Monroe, LA 71203-2372 | 2007-03-22 |
| 1104887538 | Emile A Barrow Jr Md A Medical Corp. | Nurse Practitioner | 3510 Magnolia Cv, Suite 100, Monroe, LA 71203-2372 | 2006-03-28 |
| 1396706735 | Mark C. Napoli Md Apmc | Specialist | 3510 Magnolia Cv, Ste 100, Monroe, LA 71203-2372 | 2006-03-28 |
| 1063494748 | James Dean Stockstill | Family Medicine | 3510 Magnolia Cv, Suite 190, Monroe, LA 71203-2372 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437699006 | Amanda Kaye Green | Nurse Practitioner | 517 Great Oaks Drive Suite 103, Monroe, GA 30655 | 2017-03-02 |
| 1992367833 | Mallory Middleton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
| 1760950125 | Amanda Nederlof | Nurse Practitioner | 401 Monroe Tpke, Monroe, CT 06468-2276 | 2018-11-05 |
| 1629592209 | Gretchen Carlin | Nurse Practitioner | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2017-07-26 |
| 1619345360 | Lori Allen Sadler | Nurse Practitioner | 517 Great Oaks Dr, Suite #103, Monroe, GA 30655-8211 | 2015-09-11 |
| 1407239395 | Krystal Amber Yount | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2015-07-09 |
| 1851778765 | Melissa Varrone | Nurse Practitioner | 49 Forest Rd, Monroe, NY 10950-2923 | 2015-04-29 |
| 1154716736 | Emma Mean | Nurse Practitioner | 1653 Campus Park Dr, Suite A, Monroe, NC 28112-4005 | 2015-04-01 |
| 1326478447 | Nadia Marie Allen | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2013-11-27 |
| 1144652181 | Joanie Lynn Graves | Nurse Practitioner | 2915 Betin Ave, Monroe, LA 71201-7257 | 2013-08-01 |
| Find all providers in MONROE | ||||
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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.