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

Susan Thomas

Individual provider Nurse Practitioner · NPI 1508105206

Susan Thomas is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2013
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Practice location Address checks out

3509 N Broad St
Philadelphia, PA 19140-4105
Phone: (215) 707-8484
Fax: (215) 707-3946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP012502 (PA)

Record details

NPI number1508105206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2013
Last updated in NPPESApril 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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