Active NPI
Jennifer Thomas, FNP
- Family Nurse Practitioner
- Knightdale, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012077
- Practice address
- 162 Legacy Oaks Dr
Knightdale, NC 27545-6556 - Phone
- (919) 373-1810
- NPI assigned
- Jul 31, 2019
- 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 | 5012077 | NC | Primary |
Addresses
Primary practice location
162 Legacy Oaks Dr
Knightdale, NC 27545-6556
Mailing address
4200 Clava Drive
Raleigh, NC 27616
Phone (216) 526-0248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7200 Creedmoor Rd
Suite 208
Raleigh, NC 27613-1711
Phone (919) 327-1650
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012077 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Duke University Affiliated Physicians, Inc. | Family Medicine | Past | Accepting new patients |
Locations
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
3633 Harden Rd
Ste 100
Raleigh, NC 27607
Phone (919) 784-3402
Interoperability endpoints
- jthomas444816@direct.medicine.duke.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
Family Medicine
-
- Obstetrics & Gynecology Physician
- Raleigh, NC
- NPI 1225372246
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Family Medicine
-
- Family Medicine Physician
- Durham, NC
- NPI 1225073554
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1154975795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 CLAVA DRIVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27616",
"telephone_number": "216-526-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 LEGACY OAKS DR",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275456556",
"telephone_number": "919-373-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knightdale, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.