Individual provider Active NPI

Diane Thomas, DNP, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1992953152
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000249 Issued in IL
Practice address
3348 W 87TH St
Chicago, IL 60652-3767
Phone
(773) 776-4471
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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 277000249 IL Primary

Addresses

Primary practice location

3348 W 87TH St
Chicago, IL 60652-3767

Mailing address

PO Box 746721
Atlanta, GA 30374-6721

Other practice location 1

55 W 155th Str
Chicago, IL 60426
Phone (708) 596-5177

Other practice location 2

3223 W 63rd St
Chicago, IL 60629-3333
Phone (773) 768-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000935 IL Practitioner - Nurse Practitioner 1254465875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friend Family Health Center IncGroup PAC ID 2062494552, 36 clinicians

Practice addresses (Care Compare)

6250 S Cottage Grove Ave
Chicago, IL 60637-2530
Phone (773) 702-0660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277000249ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Family CurrentSince Dec 29, 2021 Accepting new patients
Friend Family Health Center Inc Current Accepting new patients
Friend Family Health Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Friend Family Health Center Inc CurrentSince Apr 17, 2023 Accepting new patients
Home Psych Services, P.C. Past Accepting new patients

Locations

800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193

3348 W 87th St
Chicago, IL 60652
Phone (773) 776-4471

5843 S Western Ave
Chicago, IL 60636
Phone (773) 434-8600

1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

Organizations & group practices 5

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1992953152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746721",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523767",
            "telephone_number": "773-776-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W 155th Str",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60426",
            "country_code": "US",
            "telephone_number": "708-596-5177",
            "fax_number": "708-596-5177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606293333",
            "country_code": "US",
            "telephone_number": "773-768-5000",
            "fax_number": "773-778-9593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.