Everlyne Wacera Thomas, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02190757 Issued in TX

Practice address

4404 N Main St
Baytown, TX 77521-2327

Phone

(281) 478-9660

NPI assigned

Sep 15, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1225816994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21327 S KINGS MILL LN",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391463",
            "telephone_number": "281-235-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 N MAIN ST",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212327",
            "telephone_number": "281-478-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EVERLYNE",
        "middle_name": "WACERA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F02190757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thi of Texas at Swan Manor, LLC
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• Thomas DMD & Cumberbatch DDS, P.a. Dba Baytown Gentle Dental Center
• Benjamin Hammond Thomas, DMD
• Channel Thomas, APRN
• Sydney Renee Thomas
• Tomika Shantay Thomas, DPM
• Yvonne Sandra Thomas, D.M.D.
• Janet Elizabeth Thompson, M.A.,L.P.C.,L.M.F.T.
• Miah Thompson

• Family Nurse Practitioner in Baytown, TX
• Providers in Baytown, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.