Active NPI
Carol Thomas, CFNP
- Family Nurse Practitioner
- Grants Pass, OR
National Provider Identifier
1093715930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 099007166
- Practice address
- 124 NW Midland Ave
Ste J
Grants Pass, OR 97526-1269 - Phone
- (541) 476-8859
- Fax
- (541) 955-8611
- NPI assigned
- Jul 21, 2005
- Last updated
- May 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 099007166N1 | OR | |
| Family Nurse Practitioner | 363LF0000X | 099007166 | OR | Primary |
Addresses
Primary practice location
124 NW Midland Ave
Ste J
Grants Pass, OR 97526-1269
Mailing address
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212874 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 099007166 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Health System | Past | Accepting new patients | |
| Allcare Medical Group LLC | Past | Accepting new patients | |
| Mark Allen Rondeau | Past | Accepting new patients |
Interoperability endpoints
- carolthomas@mvfp.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1699360412
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1861674780
-
dba Joe Arrington Cancer Center
- Radiation Oncology Clinic/Center
- Lubbock, TX
- NPI 1245454263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526601600000",
"number": "1093715930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 NE 6TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261556",
"telephone_number": "541-471-2701",
"fax_number": "541-471-1166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 NW MIDLAND AVE",
"address_2": "STE J",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261269",
"telephone_number": "541-476-8859",
"fax_number": "541-955-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2018-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "099007166N1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "099007166",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212874",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.