Individual provider Active NPI

Christopher John Thomas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Liberty Hill, TX
National Provider Identifier
1437739653
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1033099 Issued in TX
Practice address
12701 W State Highway 29
Liberty Hill, TX 78642-6347
Phone
(512) 548-5373
NPI assigned
Apr 12, 2021
Last updated
May 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1033099 TX Primary

Addresses

Primary practice location

12701 W State Highway 29
Liberty Hill, TX 78642-6347

Mailing address

4207 Flat Stone CT
Round Rock, TX 78665-1175
Phone (512) 998-0887

Other practice location 1

4207 Flat Stone Ct
Round Rock, TX 78665-1175
Phone (512) 998-0887

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
I20210729002611 TX Practitioner - Nurse Practitioner 8325441207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Dimensions IncGroup PAC ID 0143589739, 5 clinicians

Practice addresses (Care Compare)

918 S Interstate 35
Georgetown, TX 78628-4127
Phone (512) 535-3777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1033099TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaela Thurman NP & Associate PLLC Single Specialty PastSince Jun 6, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1437739653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 FLAT STONE CT",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651175",
            "telephone_number": "512-998-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W STATE HIGHWAY 29",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426347",
            "telephone_number": "512-548-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 Flat Stone Ct",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651175",
            "country_code": "US",
            "telephone_number": "512-998-0887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1033099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

Verify at the official NPI Registry.