Individual provider Active NPI

Nisha Thomas

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1700216504
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209010904 Issued in IL
Practice address
1406 Brownstone PL
Schaumburg, IL 60193-3533
Phone
(847) 609-1524
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209010904 IL Primary

Addresses

Primary practice location

1406 Brownstone PL
Schaumburg, IL 60193-3533

Mailing address

1406 Brownstone PL
Schaumburg, IL 60193-3533
Phone (847) 609-1524

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161010000040 IL Practitioner - Nurse Practitioner 8123316007 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medplus Medical Center SC CurrentSince Sep 10, 2017 Accepting new patients

Locations

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

2500 W Higgins Rd
Ste 400
Hoffman Estates, IL 60169
Phone (847) 490-6817

Organizations & group practices 1

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": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1700216504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 BROWNSTONE PL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933533",
            "telephone_number": "847-609-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BROWNSTONE PL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933533",
            "telephone_number": "847-609-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.