JACQUELINE D THOMAS (NPI# 1952657843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952657843 |
| Entity Type | Individual |
| Full Name | JACQUELINE D THOMAS |
| Credential | ARNP |
| Practice Address |
3381 Phillis Blvd Myrtle Beach SC 29577-1560 |
| Practice Telephone | 8434770177 |
| Mailing Telephone | 8434770177 |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1058812 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 860 Camp Rd, Cocoa, FL 329273708 | 3216901500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1174042931 | Jacqueline Thomas | Physical Therapist | 4003 N Weber St Unit I, Colorado Springs, CO 80907-4430 | 2017-09-13 |
| 1528434461 | Jacqueline Ann Thomas | Social Worker | 9 Harding St, Medfield, MA 02052-1216 | 2015-08-14 |
| 1326465808 | Jacqueline Yvonne Thomas | Counselor | 566 Haddon Ave., Genesis Counseling Services, Collingswood, NJ 08108 | 2014-03-24 |
| 1780963868 | Jacqueline Thomas | Social Worker | 774 Eayrestown Road, Lumberton, NJ 08048-3100 | 2011-08-08 |
| 1699092619 | Jacqueline Thomas | Registered Nurse | 436 Carter St, Rochester, NY 14621-3951 | 2010-04-29 |
| 1336310655 | Jacqueline J Thomas | Specialist | Ave. Laurel, Lomas Verdes, Hospital Regional, Bayamon, PR 00956 | 2008-03-14 |
| 1629298914 | Jacqueline Thomas | Counselor | 2100 East Chambers Street, Booneville, MS 38829 | 2007-04-27 |
| 1346858412 | Jacqueline Sue Thomas | Licensed Vocational Nurse | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2020-07-15 |
| 1003446626 | Jacqueline Thomas | Counselor | 404 Independence Blvd, Sicklerville, NJ 08081-1094 | 2020-01-23 |
| Street Address |
3381 PHILLIS BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659341287 | Jose Luis Morales Vazquez | Family Medicine | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2006-01-25 |
| 1104328970 | Melissa Ann Green | Dietitian, Registered | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2018-03-07 |
| 1144672791 | Emily Heubel | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2016-07-07 |
| 1255735445 | Dara Ann Williams | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-10-16 |
| 1477967545 | Jorge L Cordova - Ruiz | General Practice | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2014-06-17 |
| 1801209226 | Eric Biscoglio | Psychologist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2014-06-03 |
| 1366721110 | James Michael Caruso | Optometrist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-08-10 |
| 1659664233 | Michael Behrens | Pharmacist | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2011-05-16 |
| 1326372657 | Skye Leigh King | Social Worker | 3381 Phillis Blvd, Myrtle Beach, SC 29577-1560 | 2009-09-18 |
| 1811180805 | Joyce A. Greeno | Licensed Practical Nurse | 3381 Phillis Blvd, Myrtle Beach, SC 29577 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952558215 | Angela Maria Brinegar | Nurse Practitioner | 8121 Rourk Street, Myrtle Beach, SC 29572-4128 | 2008-08-19 |
| 1417076175 | Ellen Ianelli | Nurse Practitioner | 7075 Swansong Cir, Myrtle Beach, SC 29579-4363 | 2007-03-27 |
| 1790139558 | Yolanda Lang | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2016-04-19 |
| 1821460346 | Maria Floresca | Nurse Practitioner | 9820 N Kings Hwy, Myrtle Beach, SC 29572-4013 | 2015-10-23 |
| 1477943744 | Michael Cruse | Nurse Practitioner | 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572-4120 | 2015-01-26 |
| 1760813190 | Brandy Van Heyde | Nurse Practitioner | 3236 Holmestown Rd, Ste E1, Myrtle Beach, SC 29588-7495 | 2013-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on JACQUELINE D 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.