Active NPI
Thomas James Flynn, APRN, CPNP-AC
- Acute Care Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1427715176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95022416
- Practice address
- 550 16TH St FL 5
San Francisco, CA 94158-2545 - Phone
- (415) 476-5153
- Fax
- (415) 476-5363
- NPI assigned
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | RN210393 | GA | |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | RN210393 | GA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95022416 | CA | Primary |
Addresses
Primary practice location
550 16TH St FL 5
San Francisco, CA 94158-2545
Mailing address
1266 Alameda de Las Pulgas
Redwood City, CA 94061-1902
Phone (404) 909-1370
Other practice location 1
1975 4th St
San Francisco, CA 94143-2351
Phone (415) 353-9154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210393 | GA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Interoperability endpoints
- tflynn251950@direct-ucsfmedicalcenter.org
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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- General Acute Care Hospital
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- NPI 1144325440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1427715176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 ALAMEDA DE LAS PULGAS",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940611902",
"telephone_number": "404-909-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 16TH ST FL 5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941582545",
"telephone_number": "415-476-5153",
"fax_number": "415-476-5363"
}
],
"practiceLocations": [
{
"address_1": "1975 4th St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432351",
"country_code": "US",
"telephone_number": "415-353-9154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "THOMAS",
"middle_name": "JAMES",
"credential": "APRN, CPNP-AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-17",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "GA",
"license": "RN210393",
"primary": false
},
{
"code": "363LP0222X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics, Critical Care",
"state": "GA",
"license": "RN210393",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95022416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.