Individual provider Active NPI

Flavia Pieri Avila Thornson, FNP

  • Geriatric Medicine (Family Medicine) Physician
  • North Dartmouth, MA
National Provider Identifier
1235886706
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
RN232054 Issued in MA
Practice address
77 Wolcott Ave
North Dartmouth, MA 02747-2459
Phone
(774) 202-7049
Fax
(774) 202-2839
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X RN232054 MA Primary

Addresses

Primary practice location

77 Wolcott Ave
North Dartmouth, MA 02747-2459

Mailing address

77 Wolcott Ave
North Dartmouth, MA 02747-2459
Phone (774) 202-7049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN232054MAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Services, LLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

77 Wolcott Ave
North Dartmouth, MA 02747
Phone (508) 999-1502

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1235886706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WOLCOTT AVE",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472459",
            "telephone_number": "774-202-7049",
            "fax_number": "774-202-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WOLCOTT AVE",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472459",
            "telephone_number": "774-202-7049",
            "fax_number": "774-202-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNSON",
        "first_name": "FLAVIA",
        "middle_name": "PIERI AVILA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "RN232054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.