| Mrs Shauna Speede Thomas, FNP-BC | |
|
3520 High St Ste 100, Portsmouth, VA 23707-3126 | |
| (757) 977-9675 | |
| (757) 483-8099 |
| Full Name | Mrs Shauna Speede Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3520 High St Ste 100, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447721881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001189021 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024177116 (Virginia) | Primary |
| Entity Name | Tidewater Mobile Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225527351 PECOS PAC ID: 9739435066 Enrollment ID: O20180628002808 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shauna Speede Thomas, FNP-BC 3520 High St Ste 100, Portsmouth, VA 23707-3126 Ph: (757) 977-9675 | Mrs Shauna Speede Thomas, FNP-BC 3520 High St Ste 100, Portsmouth, VA 23707-3126 Ph: (757) 977-9675 |
Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443 | |
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514 | |
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499 | |
Mrs. Desirae Nicole Pierce, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-1894 Fax: 757-953-0090 | |
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200 | |
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311 | |
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035 |