Individual provider Active NPI

Kristie Lynn Thomas, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1174044531
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134485 Issued in TX
Practice address
2604 Saint Michael Dr Ste 239
Texarkana, TX 75503-2378
Phone
(903) 314-9146
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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 AP134485 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 239
Texarkana, TX 75503-2378

Mailing address

2604 Saint Michael Dr Ste 239
Texarkana, TX 75503-2378
Phone (903) 314-9146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, DC, IN, GA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170818001445 TX Practitioner - Nurse Practitioner 2163793506 Reassigns benefits to 1 organization
I20220630000440 FL Practitioner - Nurse Practitioner 2163793506 Reassigns benefits to 1 organization
I20220630002016 DC Practitioner - Nurse Practitioner 2163793506 Reassigns benefits to 1 organization
I20240531003397 IN Practitioner - Nurse Practitioner 2163793506 Reassigns benefits to 1 organization
I20240701000309 GA Practitioner - Nurse Practitioner 2163793506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Copilotiq PCGroup PAC ID 7810392040, 8 clinicians

Practice addresses (Care Compare)

10301 E Evans Rd
Wheatland, IN 47597-8159
Phone (615) 380-4003

1390 Chain Bridge Rd
Suite 10123
MC Lean, VA 22101-3904
Phone (615) 412-8777

1910 Pacific Ave
Suite 2000
Dallas, TX 75201-4540
Phone (615) 412-8777

3343 Peachtree Rd NE
Atlanta, GA 30326-1044
Phone (615) 412-8777

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Copilotiq, PC CurrentSince May 31, 2022 Accepting new patients

Locations

6271 Saint Augustine Rd
Jacksonville, FL 32217
Phone (615) 412-8777

6900 Tavistock Lakes Blvd
Ste 400
Orlando, FL 32827
Phone (407) 967-0446

191 Peachtree St NE
Fl 14
Atlanta, GA 30303
Phone (404) 502-1905

3343 Peachtree Rd NE
Atlanta, GA 30326
Phone (615) 412-8777

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

421 Fayetteville St
Ste 1100
Raleigh, NC 27601
Phone (910) 421-0007

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

600 12th Ave S
Apt 1000
Nashville, TN 37203
Phone (615) 412-8777

1910 Pacific Ave
Ste 2000
Dallas, TX 75201
Phone (615) 412-8777

1390 Chain Bridge Rd
McLean, VA 22101
Phone (615) 412-8777

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22351/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristie.thomas.2@22351.direct.athenahealth.com

Organizations & group practices 1

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1174044531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 239",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-314-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 239",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-314-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.