Diane M Thomas M D P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9450 Issued in NV

Legal business name

DIANE M THOMAS M D P C

Practice address

4868 Sparks Blvd
Suite 102
Sparks, NV 89436-8207

Phone

(775) 331-5023

Fax

(775) 331-5031

NPI assigned

Sep 20, 2007

Last updated

Jul 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diane M Thomas, M.D.NPI 1124006044

Title

Owner

Phone

(775) 331-5023

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: diane.thomas.1@20348.direct.athenahealth.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane M Thomas, MD

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1124006044
  Medicare reassignment NPD Authorized official
• Ronald B. Hicks II, MD

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1326044520
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1689860942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 SPARKS BLVD",
            "address_2": "SUITE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368207",
            "telephone_number": "775-331-5023",
            "fax_number": "775-331-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4868 SPARKS BLVD",
            "address_2": "SUITE 102",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894368207",
            "telephone_number": "775-331-5023",
            "fax_number": "775-331-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M THOMAS M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-331-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ4188",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "29D1015353",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016817",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.thomas.1@20348.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "athenanet.athenahealth",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4868 Sparks Blvd",
            "address_2": "Suite 102",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894368207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Ann Devonick, PHARMD
• Douglas K Devries, O.D.
• Daxea Deweese, LSW, CDAC-I
• Inderpreet Kaur Dhanjal
• Dollie Dhillon, RBT
• Diane M. Schaub Birth Cottage
• Sucelly Melissa Diaz Erazo
• Tracy Jeannette Dickerson, B.A
• Jane Berrier Diedrichsen, M.D.
• Jessica A Diefenbach, NP

• Family Medicine Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.