Physician Compare National (NPI:1649419334)

HEALTHCARE PROVIDER: LESIA THOMAS FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649419334
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7315003530
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090312000504
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMAS
	Individual professional last name
Provider First Name	LESIA
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1313 E UNION ST
	Group Practice or individual's line 1 address
City	GREENVILLE
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	387033245
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250082
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DELTA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y