Active NPI
Deborah J Thomson-Diaz, NP-C
- Acute Care Nurse Practitioner
- Excelsior Springs, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 2019012553
- Practice address
- 15357 Lovers LN
Excelsior Springs, MO 64024-8517 - Phone
- (816) 560-2474
- NPI assigned
- Mar 11, 2020
- Last updated
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 2019012553 | MO | Primary |
Addresses
Primary practice location
15357 Lovers LN
Excelsior Springs, MO 64024-8517
Mailing address
15357 Lovers LN
Excelsior Springs, MO 64024-8517
Phone (816) 560-2474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Kansas City, MO 64131
Phone (816) 931-3400
Overland Park, KS 66210
Phone (913) 286-4448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019012553 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Wound Care LLC | Single Specialty | Current | Accepting new patients |
| Global Open Wound Care Services LLC | Single Specialty | Current | Accepting new patients |
Locations
7900 College Blvd
Ste 143
Overland Park, KS 66210
Phone (913) 286-4448
800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336
11820 Standing Stone Dr
Gretna, NE 68028
Phone (402) 332-3903
250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000
250 Miron Dr
Ste 120
Southlake, TX 76092
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Gretna, NE
- NPI 1932987864
MO, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1851926638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15357 LOVERS LN",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640248517",
"telephone_number": "816-560-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15357 LOVERS LN",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640248517",
"telephone_number": "816-560-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON-DIAZ",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2019012553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Excelsior Springs, MO
- Brock Swindler, DC
- Swope Health Services (Swope Health - Excelsior Springs Pediatric Clinic)
- Hannah Elizabeth Termorshuizen
- Christa Tetuan, PHARM.D.
- Michael Thomas
- Rory Lewis Tompkins, M.D.
- Jenna Topham
- Total Renal Care Inc (Excelsior Springs Dialysis)
- Mary Alice Troutman
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0195)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.