Active NPI
Julie Anna Thomas, APRN-CNP
- Nurse Practitioner
- Ammon, ID
National Provider Identifier
1649125279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6671596
- Practice address
- 1547 Midway Ave
Ammon, ID 83406-6912 - Phone
- (208) 497-0429
- NPI assigned
- Feb 27, 2026
- Last updated
- Feb 27, 2026
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6671596 | ID | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Root Cause Integrative Medicine LLC | Current | Accepting new patients | |
| Premier Sports & Spine | Current | Accepting new patients |
Locations
1547 Midway Ave
#B
Ammon, ID 83406
Phone (208) 360-6770
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Ammon, ID
- NPI 1447718853
-
- Chiropractor
- Ammon, ID
- NPI 1023793361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.