MR. JEAN DAVID THOMAS (NPI# 1467928184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467928184 |
| Entity Type | Individual |
| Full Name | MR. JEAN DAVID THOMAS |
| Credential | FNP |
| Practice Address |
Salem Family Health Center 47 Congress Street Salem MA 01970 |
| Mailing Address |
27 Congress St Ste 513 Salem MA 01970-5523 |
| Practice Telephone | 9787448388 |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN2269800 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2269800 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2269800 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2269800 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110149360A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Lafayette St, Marblehead, MA 019451939 | 6179397040 | 9789690469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942489448 | Jean Thomas | Audiologist | 611 W. Park, Urbana, IL 61801-2500 | 2007-10-31 |
| 1457483182 | Jean P Thomas | Occupational Therapist | 2633 Napoleon Ave Ste 600, New Orleans, LA 70115-7425 | 2007-03-09 |
| 1881695534 | Jean K Thomas | Psychiatry & Neurology | 307 Saint Johns Way Ste 1, Lewiston, ID 83501-2435 | 2005-08-03 |
| 1457359945 | Jean E Thomas | Pathology | 1314 N Macomb St, Monroe, MI 48162-3131 | 2005-07-08 |
| 1790264968 | Jean Carol Thomas | Counselor | 10i Roessler Rd, Woburn, MA 01801-6208 | 2018-08-08 |
| 1427595610 | Jean Thomas | Physician Assistant | 8300 Alcott St, Suite 205, Westminster, CO 80031-4008 | 2017-01-25 |
| 1649671314 | Jean Thomas | Rehabilitation Counselor | 66 Hurlbut St, Pasadena, CA 91105-4025 | 2014-09-11 |
| 1568795300 | Jean Marie Thomas | Physical Therapist | 8200 Dodge St, Children's Hospital & Medical Center - Rehab Services, Omaha, NE 68114-4113 | 2009-09-11 |
| 1578653846 | Jean M Thomas | Psychiatry & Neurology | 111 Michigan Ave Nw, Washington, DC 20010-2978 | 2006-10-14 |
| 1407957301 | Jean Alfred Thomas Sr. | Obstetrics & Gynecology | 6125 Clayton Ave, Suite 122, St Louis, MO 63139 | 2006-09-26 |
| Street Address |
SALEM FAMILY HEALTH CENTER 47 CONGRESS STREET |
| City | SALEM |
| State | MA |
| Zip Code | 01970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785403 | Najwa Holtzman | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| 1235630336 | Corey John Reeves | Social Worker | 35 Congress Street, Bldg 2, First Floor, Suite 2150, Salem, MA 01970 | 2018-02-23 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on MR. JEAN DAVID 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.