Organization Active NPI

Todd D Thomason NPC Inc

  • Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1265612709
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN9176643 Issued in FL
Legal business name
TODD D THOMASON NPC INC
Practice address
2350 N University Dr Unit 841423
Pembroke Pines, FL 33084-4106
Phone
(954) 962-9428
Fax
(954) 962-9429
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Todd Daniel Thomason, NP-CNPI 1912900960
Title
Aprn
Phone
(954) 227-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN9176643 FL Primary

Addresses

Primary practice location

2350 N University Dr Unit 841423
Pembroke Pines, FL 33084-4106

Mailing address

PO Box 841423
Pembroke Pines, FL 33084-1423
Phone (954) 962-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000578 FL Part B Supplier - Clinic/Group Practice 9830265735 Receives reassigned benefits from 1 practitioner
Practice locations: Hollywood, FL; Miramar, FL; Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

2350 N University Dr
Unit 841423
Pembroke Pines, FL 33084
Phone (954) 383-8836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1265612709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841423",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330841423",
            "telephone_number": "954-962-9428",
            "fax_number": "954-962-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N UNIVERSITY DR UNIT 841423",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330844106",
            "telephone_number": "954-962-9428",
            "fax_number": "954-962-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD D THOMASON NPC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "954-227-8224",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9176643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.