Individual provider Active NPI

Nezbile F. Thomas, NP

  • Family Nurse Practitioner
  • Altoona, FL
National Provider Identifier
1720074693
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9424035 Issued in FL
Practice address
118301 Boys Ranch Rd
Altoona, FL 32707
Phone
(352) 308-3248
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 002956 CT
Nurse Practitioner 363L00000X AP8405 AZ
Family Nurse Practitioner 363LF0000X 9424035 FL Primary
Nurse Practitioner 363L00000X AP60691558 WA
Family Nurse Practitioner 363LF0000X 002596 CT
Family Nurse Practitioner 363LF0000X AP13897 TX
Family Nurse Practitioner 363LF0000X F333681-1 NY
Family Nurse Practitioner 363LF0000X APRN01342 RI

Addresses

Primary practice location

118301 Boys Ranch Rd
Altoona, FL 32707

Mailing address

288 Vestrella Dr
Poinciana, FL 34759-4456
Phone (863) 496-7945

Other names 1

  • Dr. Nezbile F Thomas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002596CTMDClinical Social Worker
AP8405AZMDNurse Practitioner
AP60691558WAMDNurse Practitioner
9424035FLMDFamily Nurse Practitioner
F333681-1NYMDFamily Nurse Practitioner
APRN01342RIMDFamily Nurse Practitioner
AP13897TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc CurrentSince Nov 1, 2020 Accepting new patients
NP Care, LLC Nurse Practitioner Past Accepting new patients
Fellowship Health Resources, Inc. PastSince May 31, 2020 Accepting new patients

Locations

45 Sockanosset Cross Rd
Ste 4
Cranston, RI 02920
Phone (401) 383-4885

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Organizations & group practices 3

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1720074693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 VESTRELLA DR",
            "city": "POINCIANA",
            "state": "FL",
            "postal_code": "347594456",
            "telephone_number": "863-496-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118301 BOYS RANCH RD",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "32707",
            "telephone_number": "352-308-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NEZBILE",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002956",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9424035",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60691558",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002596",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP13897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333681-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEZBILE",
            "last_name": "THOMAS",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "DNP,APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altoona, FL

Sources for this page

Verify at the official NPI Registry.