ELIZABETH REAGAN THOMAS


Address: 836 Prudential Dr Ste 1202, Jacksonville, FL 32207-8339
Phone: 9043994862

ELIZABETH REAGAN THOMAS (NPI# 1780828111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780828111
Entity Type Individual
Full Name ELIZABETH REAGAN THOMAS
Credential APRN
Practice Address 836 Prudential Dr Ste 1202
Jacksonville
FL 32207-8339
Mailing Address Po Box 25317
Tampa
FL 33622-5317
Practice Telephone 9043994862
Practice Fax Number 9043465410
Mailing Telephone 8132860033
Mailing Fax Number 8132821806
Enumeration Date 2009-04-29
Last Update Date 2019-02-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
APRN9285961 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 000838800 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
12110 San Jose Blvd, Jacksonville, FL 322232637 9042082550 9043465410

Other Providers ELIZABETH THOMAS

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1982195772 Elizabeth Thomas Massage Therapist 6475 Highway 93 South, Ste 22, Whitefish, MT 59937 2018-05-29
1427566603 Elizabeth Mary Thomas Nurse Anesthetist, Certified Registered 6601 N 17th St, Mcallen, TX 78504-3376 2018-01-22
1396292942 Elizabeth Thomas Pharmacist 195 Perimeter Lane, Apt#202, Colchester, VT 05446-5774 2016-09-01
1629422241 Elizabeth Thomas Registered Nurse 784 Sheridan Ave, Brooklyn, NY 11208-3283 2016-04-20
1871956722 Elizabeth Thomas Physical Therapy Assistant 2860 Woodmont Dr, Tuscumbia, AL 35674-5636 2016-03-29
1194102038 Elizabeth Thomas Social Worker 1111 Chicago Ave Ste 222, Oak Park, IL 60302-1874 2015-04-29
1780076828 Elizabeth Thomas Audiologist 7820 Terrey Pine Ct, Suite 110, Eden Prairie, MN 55347-1104 2015-02-26

Office Location

Street Address 836 PRUDENTIAL DR STE 1202
City JACKSONVILLE
State FL
Zip Code 32207-8339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649230244 William David Boyd Obstetrics & Gynecology 836 Prudential Dr Ste 1202, Jacksonville, FL 32207-8339 2006-03-27
1235608282 Amy Thomas Nurse Practitioner 836 Prudential Dr Ste 1202, Jacksonville, FL 32207-8339 2018-11-20
1972917334 Marta Joan Perez Obstetrics & Gynecology 836 Prudential Dr Ste 1202, Jacksonville, FL 32207 2014-06-13
1487990503 Leslie Cannizzaro Nurse Practitioner 836 Prudential Dr Ste 1202, Jacksonville, FL 32207-8339 2012-12-18
1164648523 Lisa Michelle Rhoad Nurse Practitioner 836 Prudential Dr Ste 1202, Jacksonville, FL 32207-8339 2007-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912374489 Jessica Anne Hough Nurse Practitioner 1510 Riverplace Blvd, Jacksonville, FL 32207-9017 2015-08-31
1740674787 Philomena Meisler Nurse Practitioner 13775 Shady Woods St N, Jacksonville, FL 32224-4822 2015-03-27
1366752842 Emily Opdycke Nurse Practitioner 14540 Old Saint Augustine Rd Ste 2497, Jacksonville, FL 32258-7420 2010-10-18
1679650741 Gayle Y. Lewis Nurse Practitioner 622 Grove Street, Jacksonville, OR 97530-1198 2006-11-01
1750490819 Nicole Marie Neidhart Nurse Practitioner 915 W Monroe St Ste 100, Jacksonville, FL 32204-1177 2006-08-30
1962410720 Benita Suzette Corbitt-cherry Nurse Practitioner 2133 Broadway Ave, Jacksonville, FL 32209-7513 2006-08-04
1952354821 Lorelei Sinnett Nurse Practitioner 3225 University Blvd. South, Suite 101, Jacksonville, FL 32216 2006-05-19
1548263098 Linda Smoot Sayko Nurse Practitioner 612 College St, Jacksonville, NC 28540-5311 2005-05-28
1154963403 Jessica Hays Nurse Practitioner 4063 Salisbury Road North, Suite 202, Jacksonville, FL 32216 2019-10-08
1326519166 Brown Fertility Associates, P.a. Nurse Practitioner 8149 Point Meadows Way, Jacksonville, FL 32256-9111 2018-12-05
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

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.

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