THEODORA THOMPSON (NPI# 1831718139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831718139 |
| Entity Type | Individual |
| Full Name | THEODORA THOMPSON |
| Practice Address |
10864 Texas Health Trl Fort Worth TX 76244-4897 |
| Mailing Address |
233 Iris Dr Midlothian TX 76065-1609 |
| Practice Telephone | 6822122000 |
| Mailing Telephone | 6825972556 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP143287 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10864 TEXAS HEALTH TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627539 | Richard W Hazen | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2005-08-23 |
| 1093274607 | Joseph Andre James | Nurse Practitioner | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2019-03-14 |
| 1942776471 | Amber Lane Eastwood | Specialist/Technologist, Other | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2018-10-23 |
| 1962939249 | Jennifer T Hoang | Dietitian, Registered | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2017-05-17 |
| 1528402526 | Cameron Lee Earl | Emergency Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2013-04-20 |
| 1215296884 | Texas Health Harris Methodist Hospital Alliance | Clinic/Center | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2012-05-16 |
| 1144457193 | Mahmuda Islam | Family Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2009-06-17 |
| 1619139060 | Vinay Punnam | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-06-26 |
| 1033378153 | Sanjeetha Aella | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-06-04 |
| 1770759862 | Bala Koteswararao Grandhi | Internal Medicine | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1821635814 | Sarah Elizabeth Martin | Nurse Practitioner | 4212 Selkirk Dr W, Fort Worth, TX 76109-5328 | 2019-12-09 |
| 1568930360 | Chelsea Lynne Outhier | Nurse Practitioner | 4628 Belladonna Dr, Fort Worth, TX 76123-1841 | 2018-11-09 |
| 1265900567 | Sarah Jane Armendarez | Nurse Practitioner | 6715 Bluffview Dr, Fort Worth, TX 76132-3062 | 2018-11-05 |
| 1548736366 | Nina Quijano | Nurse Practitioner | 8209 Whistling Duck Dr, Fort Worth, TX 76118-7623 | 2018-10-18 |
| 1275015612 | Falguni Udayan Patel | Nurse Practitioner | 6100 Harris Pkwy Ste 1230, Fort Worth, TX 76132 | 2018-09-02 |
| 1487159612 | Jose Sanchez | Nurse Practitioner | 3540 Wharton Dr, Fort Worth, TX 76133-2121 | 2018-03-29 |
| 1376057752 | Shabnum Shakeel Zaman | Nurse Practitioner | 816 Stone Water Dr Apt 1015, Fort Worth, TX 76120-2798 | 2017-11-21 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1184167561 | Reynaldo Daba II | Nurse Practitioner | 1412 May St, Fort Worth, TX 76104-7639 | 2016-12-02 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
Please comment or provide details below to improve the information on THEODORA THOMPSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.