Individual provider Active NPI

Donna Thornley, CPNP

  • Pediatric Nurse Practitioner
  • Plano, TX
National Provider Identifier
1164857264
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
793175 Issued in TX
Practice address
7601 Preston Rd
Plano, TX 75024-3214
Phone
(214) 456-9250
Fax
(214) 456-1240
NPI assigned
Sep 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 793175 TX Primary

Addresses

Primary practice location

7601 Preston Rd
Plano, TX 75024-3214

Mailing address

7601 Preston Rd
Plano, TX 75024-3214
Phone (214) 456-9250

Other practice location 1

12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Phone (800) 369-8397

Other identifiers 1

IdentifierTypeStateIssuer
1164857264OtherTXNPI

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
I20220222000060 TX Practitioner - Nurse Practitioner 2769876598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
793175TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Apr 10, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc Current Accepting new patients
Questcare Hospitalists PLLC CurrentSince Feb 1, 2022 Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients
MD Pediatric Associates, P.a. Pediatrics Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

12221 Merit Dr
Ste 1610
Dallas, TX 75251
Phone (214) 217-1900

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1164857264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243214",
            "telephone_number": "214-456-9250",
            "fax_number": "214-456-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243214",
            "telephone_number": "214-456-9250",
            "fax_number": "214-456-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 Merit Dr Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752512204",
            "country_code": "US",
            "telephone_number": "800-369-8397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNLEY",
        "first_name": "DONNA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "793175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164857264",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.