NALLIE CHERPHENG THOR MD
NPI 1427751668
Student in an Organized Health Care Education/Training Program in Danbury, CT

Q: What is Nallie Thor's NPI number?

The NPI number for Nallie Thor is 1427751668. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Nallie Thor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nallie Thor was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 27, 2023PECOS Enrolled

120 MAIN ST FL 3, DANBURY, CT 06810(203) 456-1406 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nallie Cherpheng Thor Md NPPES

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

NALLIE CHERPHENG THOR MD (NPI 1427751668) is an individual student in an organized health care education/training program in Danbury, Connecticut and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Derby.

NPPES Registry Identity

NPI1427751668

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNALLIE CHERPHENG THORCredential: MD

Location Address120 MAIN ST FL 3Danbury, CT 06810-7834

Mailing Address13 Broad StWaterville, ME 04901-5201 · (207) 660-7604

Phone(203) 456-1406

Sole ProprietorNo

Enumeration DateMarch 27, 2023

NPPES CertifiedMarch 25, 2023

✔ NPI 1427751668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

120 MAIN ST FL 3, Danbury, CT 06810

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Secondary Practice Location 1

Location 1130 Division StDerby, CT 06418-1326 · Phone (203) 735-7421

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nallie Cherpheng Thor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.