NICHOLAS GLENN THRASH (NPI# 1821631227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821631227 |
| Entity Type | Individual |
| Full Name | NICHOLAS GLENN THRASH |
| Credential | ACNPC-AG |
| Practice Address |
3420 Milwaukee Ave Apt 733 Lubbock TX 79407-3839 |
| Practice Telephone | 4092912710 |
| Mailing Telephone | 4092912710 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
857543 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3420 MILWAUKEE AVE APT 733 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679070882 | Anitra Trinette Buckley | Nurse Practitioner | 3615 19th St Ste 162, Lubbock, TX 79410-1203 | 2018-04-12 |
| 1548662497 | Tracy Davis | Nurse Practitioner | 4000 22nd Pl Ste 100, Lubbock, TX 79410-1120 | 2014-09-23 |
| 1619270659 | Julia C Beaver | Nurse Practitioner | 3506 21st St Ste 507, Lubbock, TX 79410-1233 | 2010-12-14 |
| 1457965360 | Frances Greg Y Bordon | Nurse Practitioner | 3621 22nd St, Lubbock, TX 79410-1301 | 2020-09-08 |
| 1396359618 | David Tweed | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2020-09-03 |
| 1346882974 | Rachael Marie Polak | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1457993016 | Austin J Lawrence | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1043795347 | Brian Richard Honekamp | Nurse Practitioner | 3506 21st St Ste 602, Lubbock, TX 79410-1234 | 2018-10-02 |
| 1851842421 | Mandy Vanstory | Nurse Practitioner | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2016-10-19 |
| 1083165906 | Teshara Perez | Nurse Practitioner | 4316 23rd St, Lubbock, TX 79410 | 2016-10-14 |
| Find all providers in LUBBOCK | ||||
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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.