Active NPI
Nicole L Thomas, BCBA
- Behavior Analyst
- Indianapolis, IN
National Provider Identifier
1750855912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-33768
- Practice address
- 8350 Craig St
Indianapolis, IN 46250-3593 - Phone
- (317) 578-0410
- NPI assigned
- Jan 21, 2019
- Last updated
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-33768 | IN | Primary |
Addresses
Primary practice location
8350 Craig St
Indianapolis, IN 46250-3593
Mailing address
7627 Island Club Dr
Indianapolis, IN 46214-4159
Phone (219) 718-1909
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 97155 | Other | IN | MHS |
| H0032 | Other | IN | IU HEALTH |
| H0032 | Other | IN | UMR |
| 96151 | Medicaid | IN | |
| 97155 | Other | IN | AETNA |
| 97155 | Other | IN | CARE SOURCE |
| H0032 | Other | IN | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hope Source Inc. | Behavior Analyst | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1750855912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7627 ISLAND CLUB DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462144159",
"telephone_number": "219-718-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8350 CRAIG ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462503593",
"telephone_number": "317-578-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NICOLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-21",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IN",
"license": "1-18-33768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHS",
"identifier": "97155",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IU HEALTH",
"identifier": "H0032",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMR",
"identifier": "H0032",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96151",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "97155",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "97155",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "H0032",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.