Individual provider Active NPI

Deborah J Thomson-Diaz, NP-C

  • Acute Care Nurse Practitioner
  • Excelsior Springs, MO
National Provider Identifier
1851926638
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2019012553 Issued in MO
Practice address
15357 Lovers LN
Excelsior Springs, MO 64024-8517
Phone
(816) 560-2474
NPI assigned
Mar 11, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231109001250 MO Practitioner - Nurse Practitioner 9739536921 Reassigns benefits to 1 organization
I20240606002002 KS Practitioner - Nurse Practitioner 9739536921 Reassigns benefits to 1 organization

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
Global Open Wound Care Services LLCGroup PAC ID 3375999386, 7 clinicians
Total Wound Care LLCGroup PAC ID 5991247843, 5 clinicians

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

LicenseStateTypeSpecialty
2019012553MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wound Care LLC Single Specialty CurrentSince Apr 10, 2024 Accepting new patients
Global Open Wound Care Services LLC Single Specialty CurrentSince Oct 4, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.