Individual provider Active NPI

Thembi A Conner-Garcia, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Olympia, WA
National Provider Identifier
1629092226
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
MD.70002902 Issued in WA
Practice address
3661 Pacific Ave SE
Olympia, WA 98501-2122
Phone
(309) 360-8846
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036107805 IL
Addiction Medicine (Internal Medicine) Physician 207RA0401X 036107805 IL
Addiction Medicine (Internal Medicine) Physician 207RA0401X MD.70002902 WA Primary

Addresses

Primary practice location

3661 Pacific Ave SE
Olympia, WA 98501-2122

Mailing address

6004 W Woodbridge PL
Peoria, IL 61615-9214
Phone (309) 360-8846

Other identifiers 1

IdentifierTypeStateIssuer
0361078052MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000973 IL Practitioner - Internal Medicine 3870499536 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036107805ILMDInternal Medicine Physician
MD.70002902WAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Jan 2, 2016 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Proctor Health Systems Internal Medicine Current Accepting new patients
Proctor Health Systems CurrentSince Feb 1, 2016 Accepting new patients
Proctor Health Systems CurrentSince Feb 1, 2016 Accepting new patients
Human Service Center CurrentSince Oct 24, 2024 Accepting new patients
Methodist Medical Center of Illinois Internal Medicine CurrentSince Jan 2, 2016 Accepting new patients
Bloomington-Normal Treatment Center, LLC CurrentSince Jan 1, 2024 Accepting new patients
Vpa of Texas PLLC Past Accepting new patients

Locations

1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

303 Landmark Dr
Ste 2B
Normal, IL 61761
Phone (309) 808-2388

600 Fayette St
Peoria, IL 61603
Phone (309) 671-8020

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

815 Main St
Ste A1
Peoria, IL 61602

228 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 671-8000

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

Interoperability endpoints

  • Direct secure messaging: nisquallygenerationshealingcenter.thembiconner-garcia@160791.advancedmd-direct.com

Organizations & group practices 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1629092226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 W WOODBRIDGE PL",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159214",
            "telephone_number": "309-360-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 PACIFIC AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012122",
            "telephone_number": "309-360-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER-GARCIA",
        "first_name": "THEMBI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036107805",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "IL",
            "license": "036107805",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD.70002902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361078052",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.