Active NPI
Amber Thomas, FNP
- Primary Care Nurse Practitioner
- Bismarck, ND
National Provider Identifier
1295335727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R35648
- Practice address
- 1001 Gateway Ave
Bismarck, ND 58503-0508 - Phone
- (701) 751-3271
- NPI assigned
- Oct 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R35648 | ND | Primary |
Addresses
Primary practice location
1001 Gateway Ave
Bismarck, ND 58503-0508
Mailing address
1001 Gateway Ave
Bismarck, ND 58503-0508
Phone (701) 751-3271
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bismarck | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R35648 | ND | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Vein Clinics, PC | Current | Accepting new patients | |
| Bachndoc Inc. | Current | Accepting new patients |
Locations
1001 Gateway Ave
Bismarck, ND 58503
Phone (701) 734-3104
1650 45th St S
Ste 114
Fargo, ND 58103
Phone (800) 597-2095
Interoperability endpoints
- amber.thomas.1@28859.direct.athenahealth.com
Organizations & group practices 2
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": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1295335727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GATEWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030508",
"telephone_number": "701-751-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GATEWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030508",
"telephone_number": "701-751-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMBER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "ND",
"license": "R35648",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bismarck",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1001 Gateway Ave",
"city": "Bismarck",
"state": "ND",
"country_code": "US",
"postal_code": "585030508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.