Kathaleen L Thomas, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28127434A Issued in IN

Practice address

60205 Bodnar Blvd
Mishawaka, IN 46544-9342

Phone

(574) 345-0246

Fax

(574) 381-5740

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathaleen L Smith Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Onhealthcare, LLC

  • Optometrist
  • Indianapolis, IN
  • NPI 1417220369

  IN

  Medicare reassignment NPD
• Smart Physician Systems PC

  • Internal Medicine Physician
  • Michigan City, IN
  • NPI 1023550183

  IN

  Medicare reassignment NPD
• Onhealthcare LLC

  • Social Worker
  • Indianapolis, IN
  • NPI 1114681681
  NPD
• Onhealthcare, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Indianapolis, IN
  • NPI 1528324225
  NPD
• Houck Eye Care and Refractive Surgery Center, PC

  • Ophthalmology Physician
  • Long Beach, IN
  • NPI 1053514166
  NPD (past)
• Midwest Pain Clinic Interventional LLC

  • Pain Clinic/Center
  • Michigan City, IN
  • NPI 1548696446
  NPD (past)
• Onhealthcare LLC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1821150426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COMMERCE SQ",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603376",
            "telephone_number": "219-872-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60205 BODNAR BLVD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465449342",
            "telephone_number": "574-345-0246",
            "fax_number": "574-381-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATHALEEN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28127434A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHALEEN",
            "last_name": "SMITH",
            "middle_name": "L",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittney Lynn Thibault
• Anita Marie Thomas, PHARMD
• Bryon Wesley Thomas, M.D.
• Jill Thomas
• Katelyn L Thomas
• Virginia Thomas
• Mike Thompson
• Nicole Thompson
• Hannah Tobias
• Heather Todd Duchesnau, MSW

• All providers in Mishawaka, IN
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.

Verify at the official NPI Registry.