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Nicole Thomas

Chore Provider β€’ Dayton, OH

Active NPI 1356852412 Individual Practitioner Female Practitioner
Practice location in NPPES

3704 W Siebenthaler Ave
Dayton, OH 454061538

Call 3217950486 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3704 W Siebenthaler Ave

Dayton, OH 454061538

Telephone 3217950486
Organization at the Same NPPES Address or Phone
Sage Wage Inc Facility NPI 1093203705

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

13 active clinicians are listed under Chore Provider with a practice address in Dayton, OH (247 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-08
Chore Provider Primary Specialty

NUCC Taxonomy Code: 372500000X

An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.

Poetry Therapist

NUCC Taxonomy Code: 102X00000X

A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum.<br/>An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication.<br/>Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR.

Contractor

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Driver

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Meals

NUCC Taxonomy Code: 174200000X

A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

Recreation Therapist

NUCC Taxonomy Code: 225800000X

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

In Home Supportive Care

NUCC Taxonomy Code: 253Z00000X

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Home Delivered Meals

NUCC Taxonomy Code: 332U00000X

Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

Medical Foods Supplier

NUCC Taxonomy Code: 335G00000X

A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.

Non-emergency Medical Transport (VAN)

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Private Vehicle

NUCC Taxonomy Code: 347C00000X

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Adult Companion

NUCC Taxonomy Code: 372600000X

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Home Health Aide

NUCC Taxonomy Code: 374U00000X

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 08, 2023

Registered at 3704 W SIEBENTHALER AVE, DAYTON, OH 454061538 (Tel: 3217950486)

πŸ“
Updated Business Mailing Address August 08, 2023

Registered at 3704 W SIEBENTHALER AVE, DAYTON, OH 454061538 (Tel: 3217950486)

πŸ‘€
Provider Name / Credentials Updated August 08, 2023

Recorded as NICOLE THOMAS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Poetry Therapist

βœ…
NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 17, 2017

Registered at 277 SAYBROOK RD SW, PALM BAY, FL 329087129 (Tel: 3217950486)

πŸ“
Business Mailing Address (Initial Record) October 17, 2017

Registered at 277 SAYBROOK RD SW, PALM BAY, FL 329087129 (Tel: 3217950486)

πŸ‘€
Provider Name / Credentials (Initial Record) October 17, 2017

Recorded as NICOLE REVELL

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Durable Medical Equipment & Medical Supplies

🟒
Initial NPI Registration & Enumeration October 17, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356852412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2017
Last Update: August 08, 2023
Sole Proprietor: Yes

Mailing Address

3704 W Siebenthaler Ave

Dayton, OH 454061538

Phone: 3217950486

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.