Provider Demographics
NPI:1215477526
Name:THOMAS, JAMES FELTON (EP-C,MA,BS,)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FELTON
Last Name:THOMAS
Suffix:
Gender:M
Credentials:EP-C,MA,BS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 N CLAIBORNE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-1340
Mailing Address - Country:US
Mailing Address - Phone:504-236-9366
Mailing Address - Fax:
Practice Address - Street 1:1520 N CLAIBORNE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-1340
Practice Address - Country:US
Practice Address - Phone:504-236-9366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA45-5196254OtherEMPLOYER IDENTIFICATION NUMBER