Individual provider Active NPI

Netha Jan Thompson, RN FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1306975008
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
602213 Issued in TX
Practice address
1807 W Frank Ave
Suite 100
Lufkin, TX 75904-5108
Phone
(936) 634-1400
Fax
(936) 634-1406
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 602213 TX Primary

Addresses

Primary practice location

1807 W Frank Ave
Suite 100
Lufkin, TX 75904-5108

Mailing address

1500 Wildbriar Dr
Lufkin, TX 75904-4316
Phone (936) 632-1628

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20051129001026 TX Practitioner - Nurse Practitioner 0446270979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
602213TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Development Group PLLC Past Accepting new patients
Carlton J Lewis DO PA PastSince Oct 14, 2002 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIJADD/Endpoint/EIJADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGAGBD

Organizations & group practices 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1306975008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WILDBRIAR DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044316",
            "telephone_number": "936-632-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W FRANK AVE",
            "address_2": "SUITE 100",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045108",
            "telephone_number": "936-634-1400",
            "fax_number": "936-634-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NETHA",
        "middle_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "RN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "602213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.