Jaison Thomas, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F01191802 Issued in OK

Practice address

1218 E 9TH St Ste 1
Edmond, OK 73034-5796

Phone

(405) 896-6777

Fax

(405) 212-4057

NPI assigned

Mar 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1922566959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-896-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 E 9TH ST STE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345796",
            "telephone_number": "405-896-6777",
            "fax_number": "405-212-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAISON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "F01191802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thi of Oklahoma at Edmond, LLC
• Thomas Baroi Counseling Services
• Amy Renee Thomas, SLP
• Annalee Thomas
• Ashley Noelle Thomas, RDH
• Jennifer Nicole Thomas, DPT
• Mackenzie Thomas
• Mason Thomas
• Merrill A Thomas, DO
• Rupert Rockwell Thomas Sr., MD

• Nurse Practitioner in Edmond, OK
• Providers in Edmond, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.