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Deactivated NPI 1336576420 Deactivated / Inactive NPI Male Practitioner

Thomas N Therrell , RN

Registered Nurse • La Mesa, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Therrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2013
NPI Deactivation Date December 11, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Thomas Therrell, RN was a registered Registered Nurse practicing in La Mesa, CA. Throughout an active medical career spanning 12 years, Thomas Therrell provided care at the practice location at 5525 GROSSMONT CENTER DRIVE until profile deactivation on 2025-12-11.

Practice Location & Contact Primary Location

Practice Address

5525 Grossmont Center Drive

La Mesa, CA 92150

Telephone 6095564005

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
25 Specialists

Practicing in La Mesa, CA (13888 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CA 672900

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 11, 2025

Record deactivated on December 11, 2025

NPI Profile Active November 05, 2013

NPI status registered as active in NPPES database

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Updated Practice Location November 05, 2013

Registered at 5525 GROSSMONT CENTER DRIVE, LA MESA, CA 92150 (Tel: 6095564005)

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Updated Business Mailing Address November 05, 2013

Registered at PO BOX 501932, SAN DIEGO, CA 921501932 (Tel: 6095564005)

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Provider Name / Credentials Updated November 05, 2013

Recorded as THOMAS THERRELL, R.N.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2013

Registered Nurse (License #672900 in CA)

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Initial NPI Registration & Enumeration October 03, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336576420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2013
Last Update: November 05, 2013
Deactivation Date: December 11, 2025

Mailing Address

Po Box 501932

San Diego, CA 921501932

Phone: 6095564005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.