Individual provider Active NPI

Thera Sumner Thomason, FNP

  • Family Nurse Practitioner
  • South Pittsburg, TN
National Provider Identifier
1609195072
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0310200 Issued in TN
Practice address
201 E 10TH St
South Pittsburg, TN 37380-1497
Phone
(901) 765-3110
Fax
(901) 765-3106
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0310200 TN Primary

Addresses

Primary practice location

201 E 10TH St
South Pittsburg, TN 37380-1497

Mailing address

616 N Valley Dr
Chattanooga, TN 37415-3902
Phone (423) 255-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100928000216 TN Practitioner - Nurse Practitioner 0749306736 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0310200TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Center for Sleep Disorders, Inc CurrentSince Apr 22, 2015 Accepting new patients
Advanced Center for Sleep Disorders, Inc. CurrentSince Apr 22, 2015 Accepting new patients

Locations

6073 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 648-8008

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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1609195072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N VALLEY DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153902",
            "telephone_number": "423-255-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 10TH ST",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801497",
            "telephone_number": "901-765-3110",
            "fax_number": "901-765-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "THERA",
        "middle_name": "SUMNER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F0310200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pittsburg, TN

Sources for this page

Verify at the official NPI Registry.