Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shiby Thomas

Individual provider Adult Health Nurse Practitioner · NPI 1790331452

Mrs. Shiby Thomas is a Nurse Practitioner in Stony Brook, New York. Qualified in 2019, 7 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

100 Nicolls Rd
Stony Brook, NY 11794-1252
Phone: (631) 444-1066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F309366-01 (NY)

Record details

NPI number1790331452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2019
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021
Mailing address20 Redwood Ln, Miller Place, NY 11764-3030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook