Individual provider Active NPI

Theodora Thompson

  • Acute Care Nurse Practitioner
  • Midlothian, TX
National Provider Identifier
1831718139
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143287 Issued in TX
Practice address
233 Iris Dr
Midlothian, TX 76065-1609
Phone
(682) 597-2556
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143287 TX
Acute Care Nurse Practitioner 363LA2100X AP143287 TX Primary

Addresses

Primary practice location

233 Iris Dr
Midlothian, TX 76065-1609

Mailing address

233 Iris Dr
Midlothian, TX 76065-1609
Phone (469) 333-1966

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@enablinggrace.org Health Information Exchange (HIE)

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
I20200706000395 TX Practitioner - Nurse Practitioner 8628491933 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Healthcare Services LLC Family CurrentSince Oct 1, 2022 Accepting new patients
Enabling Grace LLC Personal Care Attendant CurrentSince Mar 6, 2022 Accepting new patients
Direct Care Consulting Family CurrentSince Sep 21, 2025 Accepting new patients

Locations

512 W Bonds Ranch Rd
Ste 150
Fort Worth, TX 76131
Phone (817) 488-6369

3348 Peden Rd
Ste 401
Fort Worth, TX 76179
Phone (817) 488-6369

7800 Oakmont Blvd
Ft Worth, TX 76132
Phone (817) 279-0225

211 E Avenue G
Unit 51
Midlothian, TX 76065

430 Hawkins Run Rd
Ste 1
Midlothian, TX 76065
Phone (469) 964-0641

Organizations & group practices 3

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1831718139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 IRIS DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651609",
            "telephone_number": "469-333-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 IRIS DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760651609",
            "telephone_number": "682-597-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THEODORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143287",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@enablinggrace.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "233 Iris Dr",
            "city": "Midlothian",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760651609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.