Provider Demographics
NPI:1992593362
Name:THOMAS, ALYSSA NICOLE (BSN)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:NICOLE
Last Name:THOMAS
Suffix:
Gender:
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 GENESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-1827
Mailing Address - Country:US
Mailing Address - Phone:614-254-7650
Mailing Address - Fax:
Practice Address - Street 1:2007 GENESSEE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1827
Practice Address - Country:US
Practice Address - Phone:614-254-7650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide