VICKIE L. THOMAS ARNP NPI 1376630384

NPI Information

  • NPI: 1376630384
  • Provider Name: VICKIE L. THOMAS, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11531 W EMERALD OAKS DR
    CRYSTAL RIVER, FL
    ZIP 34428
  • Phone: (800) 457-4573

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NPI Details

Vickie L. Thomas, ARNP is a psychiatric/mental health nurse practitioner in Crystal River, FL with 19 years of experience. Vickie L. Thomas, ARNP NPI is 1376630384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

11531 W EMERALD OAKS DR
CRYSTAL RIVER, FL
ZIP 34428-815
Phone: (800) 457-4573
Fax: (800) 443-6422

The NPI 1376630384 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 10/10/2006 and was last updated on 2/5/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health5205PKENTUCKYNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health67306WEST VIRGINIANo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11029721FLORIDAYes

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
130610026MEDICAIDKENTUCKY
2P00408776OTHERPALMETTA RR MCR
3000000502370OTHERANTHEM BCBS
41982615043OTHERGROUP NPI

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: 3/30/2025

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