Active NPI
Jennifer Thompson Arnouville, D.O.
- Geriatric Medicine (Family Medicine) Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- M9812
- Practice address
- 5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559 - Phone
- (817) 334-1400
- Fax
- (817) 334-1410
- NPI assigned
- Jun 15, 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | M9812 | TX | Primary |
Addresses
Primary practice location
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559
Mailing address
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3559
Phone (817) 334-1400
Other practice location 1
800 5th Ave
Ste. 300
Fort Worth, TX 76104-7300
Phone (817) 334-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217170402 | Medicaid | TX | |
| 217170401 | Medicaid | TX |
Other names 1
- Ms. Jennifer C. Thompson
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9812 | TX | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | Accepting new patients |
Locations
809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133
5450 Clearfork Main St
Ste 300
Fort Worth, TX 76109
Phone (817) 334-1400
800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400
900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
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- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1417152000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093559",
"telephone_number": "817-334-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 CLEARFORK MAIN ST STE 300",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761093559",
"telephone_number": "817-334-1400",
"fax_number": "817-334-1410"
}
],
"practiceLocations": [
{
"address_1": "800 5th Ave",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761047300",
"country_code": "US",
"telephone_number": "817-334-1400",
"fax_number": "817-334-1410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOUVILLE",
"first_name": "JENNIFER",
"middle_name": "THOMPSON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "M9812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217170402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217170401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "THOMPSON",
"middle_name": "C.",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.