Active NPI
Thushara Thomas
- Family Nurse Practitioner
- Tecumseh, OK
National Provider Identifier
1265938252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 90895
- Practice address
- 115 E Rose Dr
Tecumseh, OK 74873-1500 - Phone
- (405) 401-4597
- Fax
- (405) 401-4597
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 90895 | OK | |
| Family Nurse Practitioner | 363LF0000X | 90895 | OK | Primary |
Addresses
Primary practice location
115 E Rose Dr
Tecumseh, OK 74873-1500
Mailing address
115 E Rose Dr
Tecumseh, OK 74873-1500
Phone (405) 401-4597
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90895 | OK | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1265938252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E ROSE DR",
"city": "TECUMSEH",
"state": "OK",
"postal_code": "748731500",
"telephone_number": "405-401-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E ROSE DR",
"city": "TECUMSEH",
"state": "OK",
"postal_code": "748731500",
"telephone_number": "405-401-4597",
"fax_number": "405-401-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "THUSHARA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OK",
"license": "90895",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "90895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tecumseh, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.