Individual provider Active NPI

Vikki Thomas, FNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1780239376
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142195 Issued in TX
Practice address
818 N 4TH St
Longview, TX 75601
Phone
(903) 236-8600
Fax
(903) 236-7493
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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 AP142195 TX Primary

Addresses

Primary practice location

818 N 4TH St
Longview, TX 75601

Mailing address

818 N 4TH St
Longview, TX 75601
Phone (903) 236-8600

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
I20201006000420 TX Practitioner - Nurse Practitioner 3375962699 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Health SystemsGroup PAC ID 9234599424, shared by 6 NPIs, 3 clinicians

Practice addresses (Care Compare)

101 E Madison St
Gilmer, TX 75644-1722
Phone (903) 843-5518

106 N Martin Luther King Blvd
Clarksville, TX 75426
Phone (903) 427-2226

1911 Galleria Oaks Dr
Texarkana, TX 75503-4617
Phone (903) 792-0212

2435 College Dr
Texarkana, TX 75501-2788
Phone (903) 255-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142195TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Systems Family CurrentSince Apr 26, 2023 Accepting new patients
Core Health Systems Family CurrentSince Jun 10, 2023 Accepting new patients
Sabine Valley Regional MHMR Center Family Current Accepting new patients
Core Health Systems Family CurrentSince Oct 8, 2023 Accepting new patients
Core Health Systems Family CurrentSince Jun 10, 2023 Accepting new patients
Core Health Systems Family CurrentSince Oct 8, 2023 Accepting new patients
Sabine Valley Regional MHMR Center Family CurrentSince Jul 7, 2020 Accepting new patients

Locations

106 N Martin Luther King Dr
#B
Clarksville, TX 75426
Phone (903) 427-2226

106 N Mlk Dr
Clarksville, TX 75426
Phone (903) 424-2226

101 E Madison St
Gilmer, TX 75644
Phone (903) 843-5518

1300 N 6th St
#A
Longview, TX 75601
Phone (903) 232-8928

107 Woodbine Pl
Longview, TX 75601
Phone (903) 234-4226

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

1911 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-0212

2435 College Dr
Texarkana, TX 75501
Phone (903) 255-1240

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vikki.thomas.p1@direct.communityhealthcore.nextgenshare.com

Organizations & group practices 7

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1780239376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-236-8600",
            "fax_number": "903-236-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VIKKI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.