Individual provider Active NPI

Liji Thomas, FNP-C

  • Family Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1417656158
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1111712 Issued in TX
Practice address
5600 S Veterans Blvd
Suite C
Edinburg, TX 78542
Phone
(956) 450-2625
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1111712 TX
Family Nurse Practitioner 363LF0000X 1111712 TX Primary

Addresses

Primary practice location

5600 S Veterans Blvd
Suite C
Edinburg, TX 78542

Mailing address

14334 N Rooth Rd
Edinburg, TX 78541-4343
Phone (956) 270-1650

Other practice location 1

801 E Nolana Ave Ste 13A
McAllen, TX 78504-6117
Phone (956) 686-2700

Other identifiers 1

IdentifierTypeStateIssuer
1111712OtherTXTEXAS BOARD OF NURSING

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
I20230327002721 TX Practitioner - Nurse Practitioner 6709250012 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1111712TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Talem Family Clinic PLLC Nurse Practitioner CurrentSince Aug 27, 2024 Accepting new patients

Locations

301 W Schunior St
Edinburg, TX 78541
Phone (956) 318-3950

5600 S Veterans Blvd
Ste C
Edinburg, TX 78542
Phone (956) 450-2625

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1417656158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14334 N ROOTH RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785414343",
            "telephone_number": "956-270-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S VETERANS BLVD",
            "address_2": "SUITE C",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78542",
            "telephone_number": "956-450-2625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Nolana Ave Ste 13A",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785046117",
            "country_code": "US",
            "telephone_number": "956-686-2700",
            "fax_number": "956-686-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LIJI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1111712",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1111712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1111712",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.