Active NPI
Juby Thomas
- Gerontology Nurse Practitioner
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 76554
- Practice address
- 32 Devoys Peak
Santa Fe, NM 87508-4823 - Phone
- (480) 859-2120
- NPI assigned
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 76554 | NM | Primary |
Addresses
Primary practice location
32 Devoys Peak
Santa Fe, NM 87508-4823
Mailing address
32 Devoys Peak
Santa Fe, NM 87508-4823
Phone (480) 859-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240503000019 | NM | Practitioner - Nurse Practitioner | 9638519994 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 Saint Michaels Dr
Suite 110
Santa Fe, NM 87505-7670
Phone (505) 982-3534
Hospital & facility affiliations
- Christus St Vincent Regional Medical Center
- Presbyterian Santa Fe Medical Center
- Holy Cross Hospital a Div of Taos Health Systems
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| St Vincent Hospital | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
465 Saint Michaels Dr
Ste 110
Santa Fe, NM 87505
Phone (505) 946-3180
465 St Michaels Dr 110
Christus St Vincent
Santa Fe, NM 87505
Phone (505) 982-3534
465 St Michaels Dr 110
Christus St Vincent
Santa Fe, NM 87505
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
Interoperability endpoints
- jthomas171047@christushealth.direct-ci.net
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.
-
- Pain Clinic/Center
- Santa Fe, NM
- NPI 1528585049
-
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
Hospital
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1609649458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 DEVOYS PEAK",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084823",
"telephone_number": "480-859-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 DEVOYS PEAK",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875084823",
"telephone_number": "480-859-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NM",
"license": "76554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.