Wendy R Thal, RN, MSN, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

584750 Issued in TX

Practice address

301 40TH St
Lubbock, TX 79404-2811

Phone

(806) 743-9355

Fax

(806) 743-9361

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wendy.thal@direct.myteamcare.com

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.

• Texas Tech University Health Sciences Center - Son - Lubbock

  • Federally Qualified Health Center (FQHC)
  • Abilene, TX
  • NPI 1265810642
  NPD
• Texas Tech University Health Sciences Center - Son - Lubbock

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1346348463

  Family

  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1174578637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042811",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042811",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAL",
        "first_name": "WENDY",
        "middle_name": "R",
        "credential": "RN, MSN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "584750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestWellness@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Combest",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 40th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794042811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Texas Tech University Health Sciences Center Lubbock
• Texas Tech University Health Sciences Center University Associates
• Texas Tech University Psychology Clinic
• Texas Texas University Health Sciences Center
• Cathy May Thackrey, AU.D., CCC-A
• Amy Jill Thane, PHARMD.
• The Adult Day Activity Center of Lubbock, Inc.
• The Brace Place (DME)
• The Brace Place Inc.
• The Centre for Reproductive Medicine, P.a.

• All providers in Lubbock, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.