Individual provider Active NPI

Eric Thompson, FNP

  • Family Nurse Practitioner
  • Bluff Dale, TX
National Provider Identifier
1215700869
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1149310 Issued in TX
Practice address
1412 County Road 1010
Bluff Dale, TX 76433-6127
Phone
(254) 396-2290
NPI assigned
Nov 6, 2023
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1149310 TX Primary
Registered Nurse 163W00000X 696990 TX

Addresses

Primary practice location

1412 County Road 1010
Bluff Dale, TX 76433-6127

Mailing address

1412 County Road 1010
Bluff Dale, TX 76433-6127
Phone (254) 396-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240219001775 OK Practitioner - Nurse Practitioner 7416391354 Reassigns benefits to 1 organization
I20240422001545 TX Practitioner - Nurse Practitioner 7416391354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GDN LLCGroup PAC ID 7810236007, 11 clinicians

Practice addresses (Care Compare)

1315 Chisholm Trail Pkwy
Duncan, OK 73533-1544
Phone (580) 606-6852

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696990TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Aug 28, 2024 Accepting new patients
DCS Medical PA CurrentSince Aug 28, 2024 Accepting new patients
Old Mission Wound Care Texas PLLC CurrentSince Nov 14, 2024 Accepting new patients
GDN LLC CurrentSince Mar 11, 2024 Accepting new patients
DCS Medical PA Past Accepting new patients

Locations

1315 Chisholm Trail Pkwy
Duncan, OK 73533
Phone (580) 574-3630

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5900 Balcones Dr
Ste 100
Austin, TX 78731

371 Mercedes St
Benbrook, TX 76126
Phone (817) 448-8114

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

2857 W Washington St
Stephenville, TX 76401
Phone (254) 965-5273

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Interoperability endpoints

  • Direct secure messaging: eric.thompson.1@24667.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": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1215700869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 COUNTY ROAD 1010",
            "city": "BLUFF DALE",
            "state": "TX",
            "postal_code": "764336127",
            "telephone_number": "254-396-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 COUNTY ROAD 1010",
            "city": "BLUFF DALE",
            "state": "TX",
            "postal_code": "764336127",
            "telephone_number": "254-396-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1149310",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "696990",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluff Dale, TX

Sources for this page

Verify at the official NPI Registry.