Individual provider Active NPI

Lannie Larose Thomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1831730027
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
31719 Issued in TX
Practice address
800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone
(817) 960-6615
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 31719 TX Primary

Addresses

Primary practice location

800 W Randol Mill Rd
Arlington, TX 76012-2504

Mailing address

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (817) 960-6627

Other practice location 1

1501 S Coulter St
Amarillo, TX 79106-1770
Phone (806) 354-1000

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
I20210601000969 TX Practitioner - Nurse Practitioner 3173922887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians
US Televero Health PAGroup PAC ID 7911318241, 37 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

6101 W Courtyard Dr
Suite 2 225
Austin, TX 78730-5044
Phone (512) 956-5003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31719TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. Single Specialty CurrentSince Mar 7, 2024 Accepting new patients
Putting U First Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients
US Televero Health PA Single Specialty CurrentSince Jul 19, 2023 Accepting new patients
Functional Neurorestoration Institute PLLC Single Specialty PastSince Feb 23, 2021 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

6101 W Courtyard Dr
Austin, TX 78730

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Interoperability endpoints

  • Direct secure messaging: usteleverohealth.lanniethomas@154586.advancedmd-direct.com

Organizations & group practices 5

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1831730027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-960-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-960-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061770",
            "country_code": "US",
            "telephone_number": "806-354-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LANNIE",
        "middle_name": "LAROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "31719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.