Active NPI
Bonnie Thomson, FNP
- Family Nurse Practitioner
- Cedar Park, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1168769
- Practice address
- 3620 E Whitestone Blvd
Cedar Park, TX 78613-7441 - Phone
- (512) 260-2732
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1168769 | TX | Primary |
Addresses
Primary practice location
3620 E Whitestone Blvd
Cedar Park, TX 78613-7441
Mailing address
13005 Titus CT
Austin, TX 78732-2164
Phone (512) 633-7754
Other practice location 1
5012 Ranch Road 620 N
Austin, TX 78732-1846
Phone (512) 851-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
103 N Sumac LN
Georgetown, TX 78633-4146
PO Box
Suite 1747
Cedar Park, TX 78630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1168769 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Rock Outpatient Care PLLC | Current | Accepting new patients |
Locations
1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503
3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732
3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Cedar Park, TX
- NPI 1891549366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721347200000",
"number": "1013754571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13005 TITUS CT",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787322164",
"telephone_number": "512-633-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 E WHITESTONE BLVD",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137441",
"telephone_number": "512-260-2732"
}
],
"practiceLocations": [
{
"address_1": "5012 Ranch Road 620 N",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787321846",
"country_code": "US",
"telephone_number": "512-851-1011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSON",
"first_name": "BONNIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1168769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.