Active NPI
Wendy Thomas, FNP-BC
- Adult Health Clinical Nurse Specialist
- Youngstown, OH
National Provider Identifier
1386056711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 2012006272
- Practice address
- 20 Ohltown Rd
Youngstown, OH 44515-2331 - Phone
- (330) 884-1500
- Fax
- (330) 941-3186
- NPI assigned
- May 20, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 023756 | OH | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 2012006272 | OH | Primary |
Addresses
Primary practice location
20 Ohltown Rd
Youngstown, OH 44515-2331
Mailing address
20 Ohltown Rd
Youngstown, OH 44515-2331
Phone (330) 941-3489
Other practice location 1
20 Ohltown Rd
Youngstown, OH 44515-2331
Phone (330) 884-1500
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023756 | OH | MD | Family Nurse Practitioner |
| 2012006272 | OH | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1386056711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-941-3489",
"fax_number": "330-884-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OHLTOWN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445152331",
"telephone_number": "330-884-1500",
"fax_number": "330-941-3186"
}
],
"practiceLocations": [
{
"address_1": "20 Ohltown Rd",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445152331",
"country_code": "US",
"telephone_number": "330-884-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "WENDY",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-20",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "023756",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "OH",
"license": "2012006272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.