Individual provider Active NPI

Daisy Thomas, FNP

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1619555752
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144715 Issued in TX
Practice address
303 E Denman Ave
Lufkin, TX 75901-4090
Phone
(936) 220-1878
NPI assigned
Mar 30, 2021
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 AP144715 TX Primary

Addresses

Primary practice location

303 E Denman Ave
Lufkin, TX 75901-4090

Mailing address

303 E Denman Ave
Lufkin, TX 75901-4090
Phone (936) 220-1878

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
I20210729004025 TX Practitioner - Nurse Practitioner 3577966373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Medical Ctr Blvd
Suite J
Lufkin, TX 75904-3163
Phone (936) 634-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144715TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2021 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Aug 1, 2021 Accepting new patients

Locations

1 Medical Center Blvd
Lufkin, TX 75904
Phone (936) 631-5600

10 Medical Center Blvd
Ste J
Lufkin, TX 75904
Phone (936) 634-5550

501 S John Redditt Dr
Ste 100
Lufkin, TX 75904
Phone (936) 634-8827

Interoperability endpoints

  • Direct secure messaging: daisy.thomas.1@1902.direct.athenahealth.com

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.

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1619555752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014090",
            "telephone_number": "936-220-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E DENMAN AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759014090",
            "telephone_number": "936-220-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAISY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.