Individual provider Active NPI

Jackie Hayes Thomas, NNP-BC

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1467725093
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
117303 Issued in NC
Practice address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone
(828) 213-8600
NPI assigned
Feb 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 117303 NC
Nurse Practitioner 363L00000X 117303 NC Primary

Addresses

Primary practice location

509 Biltmore Ave
Asheville, NC 28801-4601

Mailing address

100 Meadows Town Rd
Marshall, NC 28753-9024
Phone (828) 273-4954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140124001523 NC Practitioner - Nurse Practitioner 8921236795 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117303NCMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 16, 2019 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 16, 2019 Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

Organizations & group practices 5

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": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1467725093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEADOWS TOWN RD",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287539024",
            "telephone_number": "828-273-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "828-213-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACKIE",
        "middle_name": "HAYES",
        "credential": "NNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "117303",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "117303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.