DR. JULIE A THOMAS (NPI# 1710287362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710287362 |
| Entity Type | Individual |
| Full Name | DR. JULIE A THOMAS |
| Credential | FNP |
| Practice Address |
27th Special Operations Medical Group 224 W Dl Ingram Ave Cannon Afb NM 88103-5103 |
| Practice Telephone | 5759043917 |
| Practice Fax Number | 5757846028 |
| Mailing Telephone | 5759043917 |
| Mailing Fax Number | 5757846028 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15195 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1526314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205154788 | Julie Thomas | Technician, Other | 3826 Highway 15 S, Jackson, KY 41339-8675 | 2010-05-10 |
| 1679767156 | Julie Ann Thomas | Counselor | 1310 W Pittsburg Pl, Broken Arrow, OK 74012-6658 | 2007-08-28 |
| 1346376043 | Julie Ann Thomas | Physical Therapist | 2439 Camino Corso Rio, San Clemente, CA 92673-3643 | 2007-02-26 |
| 1881761674 | Julie D Thomas | Counselor | 233 Davis Rd, Suite G, Augusta, GA 30907-2499 | 2006-11-29 |
| 1740370287 | Julie Thomas | Internal Medicine | 160 Country Estates Cir # 2, Reno, NV 89511-4040 | 2006-10-13 |
| 1982798799 | Julie Thomas | Nurse Practitioner | 6565 De Moss Dr, Houston, TX 77074-5099 | 2006-10-03 |
| 1952326738 | Julie A Thomas | Physician Assistant | 123 17th St, Mail Stop 316, Reno, NV 89557-0001 | 2006-07-13 |
| 1841232998 | Julie Marie Thomas | Dentist | 1437 S Main St, North Canton, OH 44720-4245 | 2006-06-12 |
| 1386645927 | Julie Ann Thomas | Obstetrics & Gynecology | 4323 N Josey Ln, Suite 306, Carrollton, TX 75010-4633 | 2005-08-04 |
| 1073152450 | Julie Thomas | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-01-02 |
| Street Address |
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W DL INGRAM AVE |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88103-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972833523 | Deborah J Angeles | Nurse Practitioner | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2010-01-04 |
| 1649814120 | Chase Chesterman | Dietitian, Registered | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2019-10-29 |
| 1134613342 | Nicholas F Polk | Social Worker | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-06-20 |
| 1144725755 | Kent Andrew Boucher | General Practice | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2018-03-26 |
| 1184137218 | Racheal L Rivera | Nurse Practitioner | 27th Special Operations Medical Group, 27 Somdg/sghc, Cannon Afb, NM 88103-5103 | 2017-11-11 |
| 1821510033 | Wallace D Cleveland Jr. | Physician Assistant | 27th Special Operations Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2017-07-10 |
| 1497104194 | Anne M Murphy | Pediatrics | 27th Special Operations Medical Group, 224 W Dl Ingram Ave, Cannon Afb, NM 88103-5103 | 2016-06-03 |
| 1265848576 | John M Richardson | Family Medicine | 27th Special Operations Medical Group, 244 W D.l. Ingram Ave, Cannon Afb, NM 88101-5103 | 2014-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| Find all providers in zip 88103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992241434 | Seth Williams | Nurse Practitioner | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88103 |
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| 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.