Tracie Leann Thomas, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

61355 Issued in NM

Practice address

2820 Village Pkwy
Suite 620
Highland Village, TX 75077

Phone

(972) 317-2082

Fax

(972) 317-3032

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mindcalmpsychiatric.traciethomas@148013.advancedmd-direct.com

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.

• Mindcalm Psychiatric & Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe, NM
  • NPI 1801484712
  Medicare reassignment NPD Authorized official
• Agape Mind Services

  • Adult Mental Health Clinic/Center
  • Highland Village, TX
  • NPI 1679704787
  NPD (past)
• Costello Clinic, P.a.

  • Adult Mental Health Clinic/Center
  • Lewisville, TX
  • NPI 1619073228
  NPD (past)
• Taos Health Systems, Inc., Holy Cross Hospital

  • Critical Access Hospital
  • Taos, NM
  • NPI 1902338049
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1669938171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 271322",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 VILLAGE PKWY",
            "address_2": "SUITE 620",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-317-2082",
            "fax_number": "972-317-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TRACIE",
        "middle_name": "LEANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140702",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140702",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "61355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Compassion and Wellbeing, PLLC
• The Looking Glass Optique PC
• The Smile Mission Dallas PLLC
• Velma Elaine Thomas-Aguilar, P.A.
• Justin Thomas, RPH
• Macayla Thompson
• John Michael Tilley, M.D.
• Michelle Lee Tonkin, OT
• Darrah Torres, M.S.CCC-SLP
• Grace Brita Trent, LPC

• Psychiatric/Mental Health Nurse Practitioner in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.

Verify at the official NPI Registry.