Active NPI
Thomas Care Clinic LLC
- Health Service Clinic/Center
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- THOMAS CARE CLINIC LLC
- Practice address
- 2040 E Sunshine St
Springfield, MO 65804-1815 - Phone
- (417) 275-8900
- Fax
- (417) 270-8012
- NPI assigned
- May 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia R Thomas, FNP-BC
- Title
- Clinic Owner
- Phone
- (417) 275-8900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | |||
| Clinic/Center | 261Q00000X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
2040 E Sunshine St
Springfield, MO 65804-1815
Mailing address
2040 E Sunshine St
Springfield, MO 65804-1815
Phone (417) 275-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154787638 | Other | MO | NPPES |
| 420028118 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2244255 | Thomas Care Clinic LLC | Certificate of waiver | Nov 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
1713 James River Rd
Ozark, MO 65721
Phone (417) 275-8900
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1962086496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 E SUNSHINE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041815",
"telephone_number": "417-275-8900",
"fax_number": "417-270-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 E SUNSHINE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658041815",
"telephone_number": "417-275-8900",
"fax_number": "417-270-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-11",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CLINIC OWNER",
"authorized_official_telephone_number": "417-275-8900",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1154787638",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420028118",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.