MARY ROSE THOMAS (NPI# 1881241123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881241123 |
| Entity Type | Individual |
| Full Name | MARY ROSE THOMAS |
| Credential | PMHNP |
| Practice Address |
1488 Hwy 487 Sebastopol MS 39359 |
| Mailing Address |
Po Box 150 Sebastopol MS 39359-0150 |
| Practice Telephone | 6016257403 |
| Practice Fax Number | 6016257404 |
| Mailing Telephone | 6016257403 |
| Mailing Fax Number | 6016257404 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903412 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04387816 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10330 Road 375, Philadelphia, MS 393503249 | 6016560226 | 6013896759 |
| 1100 Highway 16, Carthage, MS 39051 | 6012671100 | |
| 199 Rimmer St, Walnut Grove, MS 391896586 | 6012532733 | 6012530034 |
| 2520 5th St N, Columbus, MS 397052008 | 6622441000 | |
| 9431 Eastside Drive Ext Ste E, Newton, MS 393458072 | 6016353435 | 6016353438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996478 | Mary Ann Thomas | Nurse Practitioner | 1856 Hillmont Way, Roseville, CA 95661-5818 | 2020-06-08 |
| 1639722697 | Mary Margaret Thomas | Registered Nurse | 701 5th Ave Ste 2300, Seattle, WA 98104-7041 | 2019-07-18 |
| 1598240293 | Mary Catherine Thomas | Acupuncturist | 509 Olive Way Ste 1401, Seattle, WA 98101-1746 | 2018-09-27 |
| 1588111959 | Mary Helen Thomas | Behavioral Analyst | 3871 S Green Acres St, Pembroke Township, IL 60958-5059 | 2016-09-02 |
| 1477907418 | Mary Thomas | Counselor | 39 Millstone Dr, Shamong, NJ 08088-8920 | 2016-04-15 |
| 1073981072 | Mary Katherine Thomas | Occupational Therapy Assistant | 16 Westernview Dr, Wilbraham, MA 01095-2742 | 2015-09-08 |
| 1184029605 | Mary Catherine Thomas | Speech-Language Pathologist | 123 Ridge St, New York, NY 10002-2509 | 2014-10-27 |
| 1003220914 | Mary Thomas | Occupational Therapy Assistant | 108 Ne Locust Dr, Blue Springs, MO 64014-2351 | 2014-06-18 |
| 1477979714 | Mary Thomas | Counselor | 700 Ne 18th St, Oklahoma City, OK 73105-8004 | 2014-03-11 |
| 1740613843 | Mary Thomas | Behavioral Analyst | 8136 Cimarron Ridge Dr, Las Vegas, NV 89128-1663 | 2013-08-13 |
| Street Address |
1488 HWY 487 |
| City | SEBASTOPOL |
| State | MS |
| Zip Code | 39359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178161 | William A Mullendore | Family Medicine | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-10-18 |
| 1790129021 | Benita Joetta Myles | Family Medicine | 1488 Hwy 487, Family Medicine, Sebastopol, MS 39359-0150 | 2013-04-17 |
| 1659626687 | Nicholas John Dennery II | Dentist | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2012-07-16 |
| 1851570006 | Telitha K Grant-spencer | Internal Medicine | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2007-10-24 |
| 1124232806 | James E. Yelverton | Dentist | 1488 Hwy 487, Sebastopol, MS 39359 | 2007-05-10 |
| 1932135522 | John Edwin Witcher | Emergency Medicine | 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 | 2006-06-24 |
| 1699721209 | East Central Mississippi Health Care Inc | Clinic/Center | 1488 Hwy 487, Sebastopol, MS 39359 | 2006-05-25 |
| 1386621233 | Aser M Kandil | Pediatrics | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839881 | Shanna Donald | Social Worker | 32 Underwood Street, Sebastopol, MS 39359 | 2020-04-03 |
| 1891189114 | Reathia Sue Summers | Nurse Practitioner | 157 Hwy 492, Sebastopol, MS 39359 | 2015-03-25 |
| 1053524009 | Rodney L Moore | Pharmacy | 16831 Hwy 21 S, Sebastopol, MS 39359 | 2007-05-07 |
| 1427127018 | Malinda Elizabeth Ellis Gilmer | Registered Nurse | 32 Underwood St, Sebastopol, MS 39359 | 2006-11-07 |
| 1609853647 | Karen Reece | Nurse Practitioner | 1488 Highway 487, Sebastopol, MS 39359 | 2005-12-30 |
| 1760778609 | Independent Healthcare Management, Inc. | Clinic/Center | 17509 Hwy 21, Sebastopol, MS 39359-0000 | 2011-06-20 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| 1205355781 | Gaydon Nowell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2017-09-15 |
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355781 | Gaydon Nowell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 39359 |
Please comment or provide details below to improve the information on MARY ROSE 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.