Individual provider Active NPI

Jaimy Thomas, NP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1215483490
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131840 Issued in TX
Practice address
8440 Walnut Hill LN
Dallas, TX 75231-3833
Phone
(214) 879-9966
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 AP131840 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN
Dallas, TX 75231-3833

Mailing address

8440 Walnut Hill LN Ste 200
Dallas, TX 75231-3803
Phone (214) 879-9966

Other practice location 1

6100 K Ave
Plano, TX 75074-2538
Phone (972) 509-0752

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
I20180830002112 TX Practitioner - Nurse Practitioner 9335499094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary E Goff MD PAGroup PAC ID 0446312938, 3 clinicians

Practice addresses (Care Compare)

8440 Walnut Hill LN
Suite 420
Dallas, TX 75231-3816
Phone (214) 879-9966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131840TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary E Goff MD PA CurrentSince May 9, 2022 Accepting new patients

Locations

8440 Walnut Hill Ln
Ste 200
Dallas, TX 75231
Phone (214) 879-9966

5939 Harry Hines Blvd
Ste 310
Dallas, TX 75235
Phone (214) 279-9966

8440 Walnut Hill Ln
Ste 420
Dallas, TX 75231
Phone (214) 879-9966

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1215483490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313803",
            "telephone_number": "214-879-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313833",
            "telephone_number": "214-879-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 K Ave",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750742538",
            "country_code": "US",
            "telephone_number": "972-509-0752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAIMY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.