Active NPIIndividual provider

Tisha Thomas, LPN

Licensed Practical Nurse in Valley Cottage, New York

NPI Number1962073155
Practice location
706 Executive Blvd Ste D, Valley Cottage, NY 10989-2039
Fax
—
Last updated
July 8, 2021

Tisha Thomas is a Licensed Practical Nurse based in Valley Cottage, NY. Tisha Thomas practices in Valley Cottage, NY and has the professional credentials of LPN. The NPI Number for Tisha Thomas is 1962073155 and holds a License No. 297833 (NY). The current practice location address for Tisha Thomas is 706 Executive Blvd Ste D, Valley Cottage, NY 10989-2039 and can be reached out via phone at 845-362-3904.

Provider Profile Details

NPI Number
1962073155
Provider Name
Tisha Thomas
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
706 Executive Blvd Ste D, Valley Cottage, NY 10989-2039
Phone Number
845-362-3904
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2021
Last Update Date
July 8, 2021
Certification Date
July 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
706 Executive Blvd Ste D
Valley Cottage, NY 10989-2039
Zip
10989-2039
Phone Number
845-362-3904
Valley Cottage, NY 10989Get directions →

Provider Business Mailing Address Details

Address
706 Executive Blvd Ste D
Valley Cottage, NY 10989-2039
City
Valley Cottage
State
NY
Zip
10989-2039
Phone Number
845-362-3904

License Information

License Number
297833
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tisha Thomas, LPN?

The NPI number of Tisha Thomas, LPN is 1962073155. It was assigned on July 8, 2021 and is currently active in the NPPES registry.

What is the specialty of Tisha Thomas, LPN?

Tisha Thomas, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 297833.

Where does Tisha Thomas, LPN practice?

The practice location is 706 Executive Blvd Ste D, Valley Cottage, NY 10989-2039. The office can be reached at 845-362-3904 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962073155 directly on the NPPES registry website.

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