Individual provider Active NPI

Makeba Thomas, NP

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1770981730
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP127012 Issued in TX
Practice address
2801 S Hulen St Ste 600
Fort Worth, TX 76109-1530
Phone
(817) 731-0230
Fax
(817) 731-7046
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP127012 TX
Nurse Practitioner 363L00000X AP127012 TX Primary

Addresses

Primary practice location

2801 S Hulen St Ste 600
Fort Worth, TX 76109-1530

Mailing address

2801 S Hulen St Ste 600
Fort Worth, TX 76109-1530
Phone (817) 731-0230

Other practice location 1

3071 W. Southlake Blvd
Suite 100
Southlake, TX 76092
Phone (817) 731-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141224000260 TX Practitioner - Nurse Practitioner 3678896677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Texas Lung and Sleep Clinic PAGroup PAC ID 7113995291, 2 clinicians

Practice addresses (Care Compare)

2801 S Hulen St
Suite 600
Fort Worth, TX 76109-1530
Phone (817) 731-0230

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Lung & Sleep Clinic PA CurrentSince Jul 27, 2016 Accepting new patients

Locations

2801 S Hulen St
Ste 600
Fort Worth, TX 76109
Phone (817) 731-0230

3071 W Southlake Blvd
Ste 100
Southlake, TX 76092
Phone (817) 731-0230

Interoperability endpoints

  • Direct secure messaging: makeba.thomas@ntlsc.eclinicaldirectplus.com

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1770981730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S HULEN ST STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091530",
            "telephone_number": "817-731-0230",
            "fax_number": "817-731-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S HULEN ST STE 600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091530",
            "telephone_number": "817-731-0230",
            "fax_number": "817-731-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3071 W. Southlake Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "817-731-0230",
            "fax_number": "817-731-7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MAKEBA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP127012",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP127012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.