Individual provider Active NPI

Gillian J Thomas, FNP

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1356315386
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
621516 Issued in TX
Practice address
200 MLK Jr. Blvd
Wichita Falls, TX 76301-1152
Phone
(940) 766-6306
Fax
(940) 397-2675
NPI assigned
Feb 15, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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 621516 TX Primary

Addresses

Primary practice location

200 MLK Jr. Blvd
Wichita Falls, TX 76301-1152

Mailing address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306

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
I20120320000340 TX Practitioner - Nurse Practitioner 2668632225 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
621516TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Texas Community Health Care Center, Inc Current Accepting new patients
North Central Texas Community Health Care Center, Inc CurrentSince Feb 21, 2003 Accepting new patients
North Central Texas Community Health Care Center Inc CurrentSince Feb 21, 2003 Accepting new patients

Locations

200 Mlk Jr Blvd
Wichita Falls, TX 76301
Phone (940) 397-2609

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1356315386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-397-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MLK JR. BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-397-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GILLIAN",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "621516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.