Provider Demographics
NPI:1194130468
Name:THOMAS, REBECCA ANN (NP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Mailing Address - Street 1:7301 MISSION RD STE 135
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3005
Mailing Address - Country:US
Mailing Address - Phone:913-381-7180
Mailing Address - Fax:913-381-7964
Practice Address - Street 1:7301 MISSION RD STE 135
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3005
Practice Address - Country:US
Practice Address - Phone:913-381-7180
Practice Address - Fax:913-381-7964
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS76379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily