Active NPI
Jenna Thomas
- Family Nurse Practitioner
- Plentywood, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A134018
- Practice address
- 440 W Laurel Ave
Plentywood, MT 59254-1526 - Phone
- (406) 765-4700
- NPI assigned
- Feb 6, 2017
- Last updated
- Sep 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A134018 | IA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 121966 | AR |
Addresses
Primary practice location
440 W Laurel Ave
Plentywood, MT 59254-1526
Mailing address
1100 N College Ave
Fayetteville, AR 72703-1944
Phone (794) 443-4301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134018 | IA | MD | Family Nurse Practitioner |
| 121966 | AR | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| WH Ar Medical PLLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
12300 Chenal Pkwy
Little Rock, AR 72211
Phone (501) 221-8661
12300 Chenal Pkwy
#C
Little Rock, AR 72211
Phone (501) 221-8661
1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Organizations & group practices 4
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.
-
dba MedExpress Urgent Care - Fayetteville, N College Avenue
- Urgent Care Clinic/Center
- Fayetteville, AR
- NPI 1578984357
-
dba MedExpress Urgent Care - Pine Bluff, S Olive St
- Urgent Care Clinic/Center
- Pine Bluff, AR
- NPI 1154784882
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
dba Walmart Health Virtual Care
- Family Medicine Physician
- Springdale, AR
- NPI 1235861147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1740728104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031944",
"telephone_number": "794-443-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 W LAUREL AVE",
"city": "PLENTYWOOD",
"state": "MT",
"postal_code": "592541526",
"telephone_number": "406-765-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-06",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A134018",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "AR",
"license": "121966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plentywood, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.