Jolly Thomas, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

593284 Issued in TX

Practice address

1936 Amelia CT
Geriatric Center & Senior Services
Dallas, TX 75235-7706

Phone

(214) 590-8369

Fax

(214) 590-8780

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Vickery Health Center

  • Psychologist
  • Dallas, TX
  • NPI 1831166446
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1811961519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660599",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 AMELIA CT",
            "address_2": "GERIATRIC CENTER & SENIOR SERVICES",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357706",
            "telephone_number": "214-590-8369",
            "fax_number": "214-590-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOLLY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "593284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8N9803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179001601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessy Thomas
• Jisandra L. Thomas
• John Babu Thomas
• John Henry Thomas III, CRNA
• Joise A. Thomas, WHCNP
• Jordan Lissette Thomas
• Juliet Thomas
• June Ming Thomas, CRNA
• Justin K Thomas, M.D.
• Kamisha Thomas, RBT

• Adult Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.