Individual provider Active NPI

Ciara Thomas, NP

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1508537036
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1055123 Issued in TX
Practice address
9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone
(817) 250-4906
NPI assigned
Sep 23, 2021
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 1055123 TX
Gerontology Nurse Practitioner 363LG0600X 1055123 TX Primary

Addresses

Primary practice location

9250 Amberton Pkwy
Dallas, TX 75243-3224

Mailing address

8808 Ring Gold Dr
Fort Worth, TX 76123-2462
Phone (682) 521-3706

Other practice location 1

8808 Ring Gold Dr
Fort Worth, TX 76123-2462
Phone (682) 521-3706

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
I20220105001743 TX Practitioner - Nurse Practitioner 4284025057 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Me Clinic PLLCGroup PAC ID 8123475415, 2 clinicians
Chot Healthcare ProvidersGroup PAC ID 2163881228, 8 clinicians

Practice addresses (Care Compare)

120 N Miller Rd
Suite 200
Mansfield, TX 76063-9106
Phone (903) 932-7574

6100 Western PL
Suite 105
Fort Worth, TX 76107-4662
Phone (817) 870-2795

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055123TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2022 Accepting new patients
Healthy Me Clinic PLLC CurrentSince Nov 1, 2025 Accepting new patients
Chot Healthcare Providers CurrentSince Apr 1, 2025 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

6100 Western Pl
Ste 105
Ft Worth, TX 76107
Phone (817) 870-2795

120 N Miller Rd
Ste 200
Mansfield, TX 76063
Phone (469) 935-6373

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1508537036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 RING GOLD DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232462",
            "telephone_number": "682-521-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "817-250-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8808 Ring Gold Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761232462",
            "country_code": "US",
            "telephone_number": "682-521-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CIARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1055123",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1055123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.