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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 000838800 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
12110 San Jose Blvd, Jacksonville, FL 322232637 | 9042082550 | 9043465410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
1194371807 | Elizabeth B Thomas | Counselor | 1662 Golf Club Ln, Clarksville, TN 37043-4897 | 2019-08-18 |
1942863238 | Elizabeth Kate Thomas | Dietitian, Registered | 4045 Orchard Rd Se Ste 230, Smyrna, GA 30080-4905 | 2019-04-22 |
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 |
Street Address |
836 PRUDENTIAL DR STE 1202 |
City | JACKSONVILLE |
State | FL |
Zip Code | 32207-8339 |
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 |
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 |
Find all providers in zip 32207 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32207 |
Please comment or provide details below to improve the information on ELIZABETH REAGAN 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.