Tia D Thomas, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06652 Issued in LA

Practice address

1701 Old Minden Rd Ste 17F
Bossier City, LA 71111-4804

Phone

(318) 317-1238

Fax

(318) 390-1800

NPI assigned

Sep 26, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tia D Thomas Former name

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment NPD
• Bienvenue Family Care Clinic

  • Family Nurse Practitioner
  • Bossier City, LA
  • NPI 1679251821
  NPD Authorized official
• Reach for Recovery

  • Nurse Practitioner
  • Bossier City, LA
  • NPI 1124764964
  NPD Authorized official
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1265715254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OLD MINDEN RD STE 17F",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114804",
            "telephone_number": "318-317-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OLD MINDEN RD STE 17F",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114804",
            "telephone_number": "318-317-1238",
            "fax_number": "318-390-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "807424",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "THOMAS",
            "middle_name": "D",
            "credential": "THOMAS-WALTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derrick Thomas
• Donna Thomas
• Eugena Thomas
• Karmesha Thomas
• Linda Thomas, LPC
• Veronica Thomas, RN
• Ed Thomason
• Emily Thompson
• Margaret Thompson
• Tammy Thompson

• Family Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.