Individual provider Active NPI

Thomas M. Nunn, P.A.

  • Physician Assistant
  • Kerrville, TX
National Provider Identifier
1942465786
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
02172 Issued in TX
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

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02172TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of America, P.a. Past Accepting new patients
Phoenix Medical Associates PastSince Nov 1, 1998 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.

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.

Verify at the official NPI Registry.