CANDACE ELEASE THOMAS (NPI# 1083025241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083025241 |
| Entity Type | Individual |
| Full Name | CANDACE ELEASE THOMAS |
| Practice Address |
2425 S Pearson Rd Pearl MS 39208-9443 |
| Mailing Address |
Po Box 335 Jackson MS 39205-0335 |
| Practice Telephone | 6019837168 |
| Practice Fax Number | 7692575659 |
| Mailing Telephone | 6019837168 |
| Mailing Fax Number | 7692575659 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
385H00000X | MS | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00503597 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224754 | Candace Michelle Thomas | Speech-Language Pathologist | Ludlow-taylor Elementary School, 659 G Street, Ne, Washington, DC 20002-2000 | 2020-04-22 |
| 1982147112 | Candace Thomas | Case Manager/Care Coordinator | 1136 Sylvan Ave, Martinsville, VA 24112-5208 | 2016-11-20 |
| 1538494240 | Candace R Thomas | Dentist | 236 Stockbridge Rd Ste A, Jonesboro, GA 30236-3629 | 2009-10-14 |
| 1699906073 | Candace Joy Thomas | Chiropractor | 103 Twinridge Ln, Richmond, VA 23235-5200 | 2009-08-03 |
| 1609088426 | Candace Leotta Thomas | Occupational Therapy Assistant | 121 Lake St, Brooklyn, NY 11223-2734 | 2007-05-04 |
| 1023534401 | Candace Danielle Thomas | Physician Assistant | 317 N King St Ste A, Hendersonville, NC 28792-4349 | 2017-08-17 |
| 1295276863 | Candace Perry Thomas | Counselor | 410 University Pkwy, Suite 1560, Aiken, SC 29801-6810 | 2017-03-16 |
| 1912371550 | Candace Thomas | Counselor | 612 E Arkansas St, Star City, AR 71667-4842 | 2015-11-19 |
| Street Address |
2425 S PEARSON RD |
| City | PEARL |
| State | MS |
| Zip Code | 39208-9443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255570 | C & C Nursing Company | Hospice Care, Community Based | 2425 S Pearson Rd, Pearl, MS 39208-9443 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043853914 | Carleen Evans | Technician | 936a Jenkins St, Pearl, MS 39208-9675 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050617 | Maria Annette Seale | Technician | 504 Merganser Trl, Clinton, MS 39056-6262 | 2020-10-10 |
| 1295341980 | Penny Winstead | Technician | 1523 Highway 13 N, Brandon, MS 39042-7480 | 2020-09-18 |
| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1245855790 | Hayley Caughman | Technician | 902 Stratford Ln, Amory, MS 38821-2009 | 2020-06-10 |
| 1033733738 | John Flowers | Technician | 4417 27th St, Meridian, MS 39307-4272 | 2020-05-29 |
| 1689297731 | Judy Johnson Stuart | Technician | 169 Robinhood Trl, Brandon, MS 39042-9456 | 2020-05-23 |
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1407481500 | Jannie M. King | Technician | 158 Waco Road, Inverness, MS 38753 | 2020-03-09 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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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.