Individual provider Active NPI

Cierra Nicole Thomas, RN, MSN, AGNP

  • Nurse Practitioner
  • Irving, TX
National Provider Identifier
1043730971
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134228 Issued in TX
Practice address
4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone
(972) 870-5511
NPI assigned
Jun 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134228 TX Primary

Addresses

Primary practice location

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Mailing address

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

Other practice location 1

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170714002080 TX Practitioner - Nurse Practitioner 1850661422 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextgen Post Acute Services PCGroup PAC ID 7517459647, 8 clinicians

Practice addresses (Care Compare)

2428 Bahama Dr
Dallas, TX 75211-2121
Phone (214) 948-3811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP134228TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jul 1, 2019 Accepting new patients
Wellmed Networks, Inc. CurrentSince Jan 24, 2022 Accepting new patients
Iah of Texas, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2019 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Ralph a Brooks, M.D. LLC PastSince Jul 5, 2017 Accepting new patients

Locations

2801 Gateway Dr
Ste 100
Irving, TX 75063
Phone (410) 356-5290

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: cierra.thomas@229366056681476.direct.elationemr.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043730971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 McCart Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761337298",
            "country_code": "US",
            "telephone_number": "817-294-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CIERRA",
        "middle_name": "NICOLE",
        "credential": "RN, MSN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.