Individual provider Active NPI

Sharone Samkutty Thomas

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1205728185
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1201598 Issued in TX
Practice address
9888 Ferguson Rd Ste 101B
Dallas, TX 75228-3841
Phone
(214) 328-4389
Fax
(214) 328-4085
NPI assigned
Jul 16, 2025
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 1201598 TX Primary

Addresses

Primary practice location

9888 Ferguson Rd Ste 101B
Dallas, TX 75228-3841

Mailing address

9888 Ferguson Rd Ste 101B
Dallas, TX 75228-3841
Phone (214) 328-4389

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
I20251124001186 TX Practitioner - Nurse Practitioner 6204328610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FNN Neurology PLLCGroup PAC ID 8729433297, 2 clinicians

Practice addresses (Care Compare)

2821 E President George Bush Hwy
Suite 303
Richardson, TX 75082-4280
Phone (214) 540-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1201598TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FNN Neurology, PLLC Dba Focus Neurohealth CurrentSince Nov 1, 2025 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
Wellmed Medical Group, P.a. Past Accepting new patients
Medinet Healthcare Agency Inc PastSince Jul 22, 2025 Accepting new patients
Diagnostic Imaging Center at Texas Neurology PastSince Nov 1, 2025 Accepting new patients

Locations

2821 George Bush Hwy
Ste 303
Richardson, TX 75082
Phone (214) 293-9034

Interoperability endpoints

  • Direct secure messaging: sharone.samkutty.thomas.1@31385.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1205728185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9888 FERGUSON RD STE 101B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283841",
            "telephone_number": "214-328-4389",
            "fax_number": "214-328-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 FERGUSON RD STE 101B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283841",
            "telephone_number": "214-328-4389",
            "fax_number": "214-328-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMKUTTY THOMAS",
        "first_name": "SHARONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1201598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.