Tracy L. Thomas, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71002328A Issued in IN

Practice address

1700 Dividend Dr
Logansport, IN 46947-1572

Phone

(574) 722-7407

Fax

(574) 735-0429

NPI assigned

Feb 22, 2007

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255466041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 W COUNTY ROAD 80 S",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469018709",
            "telephone_number": "765-883-5262",
            "fax_number": "765-210-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DIVIDEND DR",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471572",
            "telephone_number": "574-722-7407",
            "fax_number": "574-735-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TRACY",
        "middle_name": "L.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002328A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanan Swartz
• Matthew Jason Tanner
• Suzanne M Tanner, BS
• Lois Jane Taylor, CANP
• Sara Tedrick, BA
• John R Thompson, MD
• Rachel Leann Tiefel, DNP, FNP-BC
• Tiongson Ophthalmology Clinic, P.C.
• Atanacio Henson Tiongson, M.D.
• Twin Rivers Medical Laboratory, Inc

• Family Nurse Practitioner in Logansport, IN
• Providers in Logansport, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.