Individual provider Active NPI

Julie Anna Thomas, APRN-CNP

  • Nurse Practitioner
  • Ammon, ID
National Provider Identifier
1649125279
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6671596 Issued in ID
Practice address
1547 Midway Ave
Ammon, ID 83406-6912
Phone
(208) 497-0429
NPI assigned
Feb 27, 2026
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6671596 ID Primary

Addresses

Primary practice location

1547 Midway Ave
Ammon, ID 83406-6912

Mailing address

1855 Jean St
Pocatello, ID 83201-2558
Phone (208) 220-2142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260602004399 ID Practitioner - Nurse Practitioner 4082185806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root Cause Integrative Medicine LLCGroup PAC ID 2062753098, 5 clinicians

Practice addresses (Care Compare)

1547 Midway Ave
Suite B
Ammon, ID 83406-6912
Phone (208) 497-0429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6671596IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Root Cause Integrative Medicine LLC CurrentSince Apr 18, 2026 Accepting new patients
Premier Sports & Spine CurrentSince Apr 18, 2026 Accepting new patients

Locations

1547 Midway Ave
#B
Ammon, ID 83406
Phone (208) 360-6770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1649125279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 JEAN ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012558",
            "telephone_number": "208-220-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 MIDWAY AVE",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066912",
            "telephone_number": "208-497-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "6671596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.