MRS. DEANNA LYNN THOMAS FNP-C NPI 1669719928

NPI Information

NPI: 1669719928
Provider Name: MRS. DEANNA LYNN THOMAS, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC

PECOS Registration: Yes

Address:
831 HILLCREST RD STE C
MOBILE, AL
ZIP 36695
Phone: (251) 633-4949
Get Directions

MRS. Deanna Lynn Thomas, FNP-C is a family nurse practitioner in Mobile, AL with 12 years of experience. MRS. Deanna Lynn Thomas, FNP-C NPI is 1669719928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

831 HILLCREST RD STE C
MOBILE, AL
ZIP 36695-075
Phone: (251) 633-4949

The NPI 1669719928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1-066789	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	825-15649	OTHER	ALABAMA	ALABAMA BOARD OF MEDICAL EXAMINERS - QACSC
2	1-066789	OTHER	ALABAMA	STATE OF ALABAMA NURSING/CRNP LICENSE
3	ML3994882	OTHER	ALABAMA	CONTROLLED SUBSTANCE CERTIFICATE - DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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