Individual provider Active NPI

Thadbring T Dowling

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1942978663
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260609 Issued in AZ
Practice address
4375 E Irma LN
Phoenix, AZ 85050-4312
Phone
(480) 890-5800
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 260609 AZ Primary

Addresses

Primary practice location

4375 E Irma LN
Phoenix, AZ 85050-4312

Mailing address

10828 N Biltmore Dr Apt 156
Phoenix, AZ 85029-5412
Phone (623) 204-3594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 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
I20211012003191 AZ Practitioner - Nurse Practitioner 5092113688 Reassigns benefits to 1 organization
I20250116000280 VA Practitioner - Nurse Practitioner 5092113688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians

Practice addresses (Care Compare)

4101 Dominion Blvd
Suite 300
Glen Allen, VA 23060-3457
Phone (804) 747-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
260609AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Family Care, LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2023 Accepting new patients
Roanoke Valley Healthcare Partners, LLC CurrentSince Nov 1, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 1, 2023 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
4C Medical Group PLC Past Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

21980 N 83rd Ave
Peoria, AZ 85383
Phone (623) 465-6375

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

7089 N Thornydale Rd
Ste 101
Tucson, AZ 85741
Phone (520) 694-6600

4101 Dominion Blvd
Ste 300
Glen Allen, VA 23060
Phone (804) 747-5555

602 Brandon Ave SW
Ste 222
Roanoke, VA 24015
Phone (540) 774-0000

Organizations & group practices 7

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1942978663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10828 N BILTMORE DR APT 156",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295412",
            "telephone_number": "623-204-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 E IRMA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504312",
            "telephone_number": "480-890-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "THADBRING",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "260609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.