Active NPI
Netha Jan Thompson, RN FNP-C
- Family Nurse Practitioner
- Lufkin, TX
National Provider Identifier
1306975008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 602213
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 602213 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Development Group PLLC | Past | Accepting new patients | |
| Carlton J Lewis DO PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJADD/Endpoint/EIJADD
- 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.
-
- Family Medicine Physician
- Livingston, TX
- NPI 1356838023
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1881764728
-
- Family Medicine Physician
- Lufkin, TX
- NPI 1902280902
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.