Individual provider Active NPI

Wendy Thomas, FNP-BC

  • Adult Health Clinical Nurse Specialist
  • Youngstown, OH
National Provider Identifier
1386056711
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
2012006272 Issued in OH
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
023756OHMDFamily Nurse Practitioner
2012006272OHMDAdult 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.

Verify at the official NPI Registry.