JEREMY ROBERT THACKER RN
NPI 1104713163
Registered Nurse - Critical Care Medicine in Escondido, CA

Active since June 23, 2025
2185 CITRACADO PKWY, ESCONDIDO, CA 92029(442) 281-5000 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Robert Thacker Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY ROBERT THACKER RN (NPI 1104713163) is an individual critical care medicine provider in Escondido, California, licensed in California (95118366) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104713163
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameJEREMY ROBERT THACKERCredential: RN
Location Address2185 CITRACADO PKWYEscondido, CA 92029-4159
Mailing Address445 Los Arbolitos BlvdOceanside, CA 92058-1529 · (808) 208-2057
Sole ProprietorNo
Enumeration DateJune 23, 2025
NPPES CertifiedJune 22, 2025
NPI 1104713163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in CA · 95118366
2185 CITRACADO PKWY, Escondido, CA 92029

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Hospitalist
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Speech-Language Pathologist
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Physician Assistant (Medical)
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Psychiatry & Neurology (Psychiatry)
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Obstetrics & Gynecology
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Internal Medicine
2185 CITRACADO PKWY
ESCONDIDO, CA 92029
Psychiatry & Neurology (Neurology)
2185 CITRACADO PKWY
ESCONDIDO, CA 92029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Thacker's NPI number?

The NPI number for Jeremy Thacker is 1104713163. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Jeremy Thacker located?

Jeremy Thacker practices at 2185 Citracado Pkwy, Escondido, CA 92029. The listed phone number is (442) 281-5000.

What is Jeremy Thacker's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Jeremy Thacker was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.