MARITESS THOMAS (NPI# 1013461425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013461425 |
| Entity Type | Individual |
| Full Name | MARITESS THOMAS |
| Other Name | MARITESS GONZALES THOMAS-FORD |
| Credential | FNP-C |
| Practice Address |
1058 Bear Creek Blvd Hampton GA 30228-1849 |
| Practice Telephone | 7707070808 |
| Practice Fax Number | 7707071580 |
| Mailing Telephone | 7707070808 |
| Mailing Fax Number | 7707071580 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN161969 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1058 BEAR CREEK BLVD |
| City | HAMPTON |
| State | GA |
| Zip Code | 30228-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134160468 | Joel Shedd | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2006-06-09 |
| 1437767910 | Stanislav Kozlovski | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2020-07-21 |
| 1043676380 | Petra Nozile | Nurse Practitioner | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2015-12-31 |
| 1982940458 | Daniel Miller Jr. | Family Medicine | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2013-01-02 |
| 1760734974 | Christine Mutindi Ndetti | Nurse Practitioner | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2012-10-11 |
| 1699927681 | Karen Richards-reynolds | Nurse Practitioner | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2008-10-21 |
| 1780874297 | Danielle Elaine Bowen | Physician Assistant | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2007-07-31 |
| 1629194089 | Lashunda Williams | Family Medicine | 1058 Bear Creek Blvd, Hampton, GA 30228 | 2007-03-21 |
| 1568403921 | Eagles Landing Family Practice, LLC | Family Medicine | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720506231 | O'reilly Comprehensive Dermatology, Inc. | Dermatology | 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 | 2017-09-05 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| Find all providers in zip 30228 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967960 | Nicole Andrea Crawford | Nurse Practitioner | 1131 Misty Meadows Xing, Hampton, GA 30228-6191 | 2020-09-20 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1225669138 | Ingrid J Ortiz | Nurse Practitioner | 4000 Coliseum Dr Ste 300, Hampton, VA 23666-5974 | 2020-01-29 |
| 1184195562 | Sharee Lashell Stowes | Nurse Practitioner | 915 Gloucester St, Hampton, VA 23661-2203 | 2018-12-11 |
| 1841767035 | Jasmine Macheryl Webb | Nurse Practitioner | 1146 Oak Hollow Ct, Hampton, GA 30228-5571 | 2018-10-26 |
| 1760966337 | Misty Spencer | Nurse Practitioner | 11850 Hastings Bridge Rd, Hampton, GA 30228-6276 | 2018-09-19 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1588155055 | Premium Care Health, LLC | Nurse Practitioner | 1684 Thorn Ridge Trl, Hampton, GA 30228-6129 | 2018-05-21 |
| 1588103782 | Diverse Healthcare Inc | Nurse Practitioner | 509 Wine St, Hampton, VA 23669-3162 | 2017-02-21 |
| Find all providers in HAMPTON | ||||
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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.