Physician Compare National (NPI:1275092959)

HEALTHCARE PROVIDER: JULIE TAPIWA THOMISON FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1275092959
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345678884
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200317001395
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	THOMISON
	Individual professional last name
Provider First Name	JULIE
	Individual professional first name
Provider Middle Name	TAPIWA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SENIOR PSYCHCARE OF DALLAS I PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2466625371
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	20
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	250 W BRITISH FLYING SCHOOL BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	WINDSOR REHAB AND HEALTH CARE
	Group Practice or individual's line 2 address
City	TERRELL
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	751600043
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9725510122
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y