Marcy Lynn Thomas, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003934A Issued in IN

Practice address

11333 County Road 2
Middlebury, IN 46540-9632

Phone

(574) 825-8000

Fax

(574) 260-9580

NPI assigned

Apr 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Beacon Occupational Health, LLC

  • Clinic/Center
  • Elkhart, IN
  • NPI 1578695250
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1821355876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 COUNTY ROAD 2",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409632",
            "telephone_number": "574-825-8000",
            "fax_number": "574-260-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 COUNTY ROAD 2",
            "city": "MIDDLEBURY",
            "state": "IN",
            "postal_code": "465409632",
            "telephone_number": "574-825-8000",
            "fax_number": "574-260-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71003934A",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "IN",
            "license": "71003934A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003934A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlthomas2@beaconhealthsystem.org",
            "affiliation": "N",
            "endpointDescription": "mlthomas2@beaconhealthsystem.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11333 County Road 2",
            "city": "Middlebury",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465409632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Renee Snyder, RPH
• Jonathan Spero, MD
• Paxton Starrett
• Pamela Jo Stearns, REGISTERED NURSE
• Carla Sue Strater, FNP-BC
• Bailey Nicole Tresenriter, PA-C
• Norman S. Waggy, MD
• Sabrina Mae Walz
• William Weybright, M.D.
• Craig Raymond Yoder, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.