LAIRA LUE THOMAS (NPI# 1629036264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629036264 |
| Entity Type | Individual |
| Full Name | LAIRA LUE THOMAS |
| Credential | F.N.P. |
| Practice Address |
401 W Camas Ave Fairfield ID 83327 |
| Mailing Address |
794 Eastland Dr Twin Falls ID 83301-6856 |
| Practice Telephone | 2087642611 |
| Practice Fax Number | 2087642646 |
| Mailing Telephone | 2087343312 |
| Mailing Fax Number | 2087343313 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP-327A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805065000 | 05 |
| Street Address |
401 W CAMAS AVE |
| City | FAIRFIELD |
| State | ID |
| Zip Code | 83327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995516 | Family Health Services Corporation | Pharmacy | 401 W Camas Ave, Fairfield, ID 83327 | 2019-11-01 |
| 1336323542 | Garold H Horn | Dental Hygienist | 401 W Camas Ave, Fairfield, ID 83327 | 2007-12-24 |
| 1316984529 | Family Health Services Corporation | Family Medicine | 401 W Camas Ave, Fairfield, ID 83327 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779964 | Family Health Services Corporation | Pharmacy | 401 W. Camas Ave, Fairfield, ID 83327 | 2020-04-24 |
| 1548260805 | County of Camas | Ambulance | 401 Camas Ave W, Fairfield, ID 83327 | 2005-07-28 |
| 1649482472 | Camas County School District #121 | Local Education Agency (LEA) | 610 Soldier Road, Fairfield, ID 83327-0370 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1033718671 | Michelle Tabin Dulay | Massage Therapist | 1652 W Texas St Ste 127, Fairfield, CA 94533-5952 | 2020-10-24 |
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1154929651 | Shauntel Evette Haas | Registered Nurse | 2811 Toland Dr, Fairfield, CA 94534-3441 | 2020-10-15 |
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1831797398 | Angela Pau | Registered Nurse | 100 Bent Tree Dr Apt 1a, Fairfield, OH 45014-6729 | 2020-10-15 |
| Find all providers in FAIRFIELD | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724168 | Baljit Dhillon | Nurse Practitioner | 5140 Duren Cir, Fairfield, CA 94533-8978 | 2020-06-12 |
| 1164083168 | Michelle Setliff | Nurse Practitioner | 1261 Travis Blvd Ste 170, Fairfield, CA 94533-4825 | 2019-06-21 |
| 1528545845 | Gerarda Pires | Nurse Practitioner | 1305 Post Rd Ste 310, Fairfield, CT 06824-6016 | 2018-07-20 |
| 1063904407 | Peter Nicholas Brehmer | Nurse Practitioner | 239 Greenfield St, Fairfield, CT 06825-4401 | 2018-06-01 |
| 1447765698 | Mae Jennifer Le | Nurse Practitioner | 1261 Travis Blvd Ste 150, Fairfield, CA 94533-4800 | 2017-12-11 |
| 1093168825 | Elizabeth Sarah Carson | Nurse Practitioner | 4910 Fairfield Rd, Fairfield, PA 17320-9510 | 2016-07-17 |
| 1083061550 | Tammera Phipps | Nurse Practitioner | 1168 N Frieda Dr, Fairfield, OH 45014-3316 | 2016-05-15 |
| 1700250883 | Aneet K Grewal | Nurse Practitioner | 4422 Meadow Valley Cir, Fairfield, CA 94534-6671 | 2015-11-30 |
| 1104200716 | Latonia Yvette Cushingberry | Nurse Practitioner | 154 Twin Lakes Dr, Fairfield, OH 45014-5257 | 2015-07-13 |
| 1831518398 | Prompt Care Healthcare Solutions On The Go, Plc | Nurse Practitioner | 2709 W Briggs Ave Apt 1, Fairfield, IA 52556-2649 | 2014-04-14 |
| Find all providers in FAIRFIELD | ||||
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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.