MEDICARE: MS. CHERYL LYNN THOMAS OB GYN, CNP, CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP1700X	Perinatal Nurse Practitioner	NPF7288	CA
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	NPF7288	CA
3	367A00000X	Advanced Practice Midwife	NMW1369	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NMW1369	OTHER	CA	CERTIFIED NURSE MIDWIFE
2	489845	OTHER	CA	LICENSE
3	NPF7288	OTHER	CA	NURSE PRACTIONER LICENSE

General Provider Information

NPI Number	:	1528146198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL LYNN THOMAS OB GYN, CNP, CNM

Provider Business Mailing Address
First Line	:	810 E D ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-9545
Country	:	US
Telephone Number	:	559-924-7711
Fax Number	:	559-924-1658

Provider Business Practice Location Address
First Line	:	810 E D ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-9545
Country	:	US
Telephone Number	:	559-924-7174
Fax Number	:	559-924-1658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	03/07/2023

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