Active NPI
Thomas M. Nunn, P.A.
- Physician Assistant
- Kerrville, TX
National Provider Identifier
1942465786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 02172
- Practice address
- 222 Sidney Baker St S
Suite 500
Kerrville, TX 78028-5994 - Phone
- (830) 895-7675
- Fax
- (830) 896-3082
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 02172 | TX | Primary |
Addresses
Primary practice location
222 Sidney Baker St S
Suite 500
Kerrville, TX 78028-5994
Mailing address
222 Sidney Baker St South
Suite 500
Kerrville, TX 78028-5900
Phone (830) 895-7675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02172 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Associates of America, P.a. | Past | Accepting new patients | |
| Phoenix Medical Associates | Past | Accepting new patients | |
| Wellmed Medical Group, PA | Past | Accepting new patients |
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1093768673
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Kerrville, TX
- NPI 1790736239
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1942465786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SIDNEY BAKER ST SOUTH",
"address_2": "SUITE 500",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285900",
"telephone_number": "830-895-7675",
"fax_number": "830-896-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SIDNEY BAKER ST S",
"address_2": "SUITE 500",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285994",
"telephone_number": "830-895-7675",
"fax_number": "830-896-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "THOMAS",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "02172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.