Individual provider Active NPI

Jonathan Thomas, NP

  • Family Nurse Practitioner
  • Erie, CO
National Provider Identifier
1023619715
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0996008 Issued in CO
Practice address
1419 Flannagan CT
Erie, CO 80516-6941
Phone
(832) 492-2959
NPI assigned
Nov 8, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0996008 CO Primary

Addresses

Primary practice location

1419 Flannagan CT
Erie, CO 80516-6941

Mailing address

1419 Flannagan CT
Erie, CO 80516-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427000676 CO Practitioner - Nurse Practitioner 5193133478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0996008COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, LLC CurrentSince Jul 19, 2021 Accepting new patients
Goodness Health, LLC CurrentSince Nov 6, 2022 Accepting new patients
Colorado Pain Practice, PLLC Current Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Jul 19, 2021 Accepting new patients
Goodness Health, LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1023619715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FLANNAGAN CT",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FLANNAGAN CT",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805166941",
            "telephone_number": "832-492-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JONATHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0996008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.