Jennifer Lynette Thomas, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

65438 Issued in ID

Practice address

1205 SE Professional Mall Blvd Ste 102
Pullman, WA 99163-5423

Phone

(509) 332-7511

NPI assigned

Nov 18, 2020

Last updated

Nov 11, 2024By the provider in NPPES

Sex

Female

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

Enrolled in WA, ID2 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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Devlin and Huberty PSGroup PAC ID 2668360934, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
• Gritman Medical Center Hospital, Moscow, ID, CCN 131327

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Devlin & Huberty PS

  dba Moscow Pullman OBGYN

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Pullman, WA
  • NPI 1386709624

  ID

  Medicare reassignment Care Compare group
• Devlin & Huberty PS

  dba Moscow Pullman OB GYN

  • Obstetrics & Gynecology Physician
  • Pullman, WA
  • NPI 1063582971
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Public Hospital District #1-a of Whitman County

  dba Pullman Regional Hospital

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767
  Care Compare affiliation
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Care Compare affiliation
• Gritman Medical Center Inc.

  dba Gritman Internal Medicine Clinic

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1942803226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD STE 102",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD STE 102",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-332-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "LYNETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "65438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lyn Tappana, LICSW
• Eileen K Taylor, RN
• Mathew Zane Taylor, M.D, M.P.H.
• Therapy With Chey
• Benjamin Thew, BS, AARC
• Noah Fitzgerald Thomas
• Kimberly S Thompson, CDP
• Molly Thompson, M.D.
• Trisha Lynne Thornquist, LMP
• Three Forks Orthopaedics PC

• Women's Health Nurse Practitioner in Pullman, WA
• Providers in Pullman, WA by specialty
• Women's Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.

Verify at the official NPI Registry.