| Holly Thomas, PMHNP | |
| 
					1225 Aguilar Dr, Montgomery City, MO 63361-2723  | |
| (573) 582-1234 | |
| (573) 582-1212 | 
| Full Name | Holly Thomas | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 1225 Aguilar Dr, Montgomery City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447087432 | NPI | - | NPPES | 
| 420149003 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024036138 (Missouri) | Primary | 
| Entity Name | Compass Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955  | 
| Entity Name | Centerpointe Hospital Of Columbia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760973044 PECOS PAC ID: 0446502652 Enrollment ID: O20190607000368  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Holly Thomas, PMHNP 504 Meadow Crest Ln, Montgomery City, MO 63361-1600 Ph: (636) 359-5823  | Holly Thomas, PMHNP 1225 Aguilar Dr, Montgomery City, MO 63361-2723 Ph: (573) 582-1234  | 
Kristina Boylan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Pickering St, Montgomery City, MO 63361 Phone: 573-564-2101 Fax: 573-564-2130  | |
Mary Ellen Shanks, APRN,BC,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963  | |
Londa Y Swoboda, FNP, BSN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216  | |
Mrs. Diana L Gibbs, RNC  WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Salisbury St, Montgomery City, MO 63361 Phone: 573-564-2495 Fax: 573-564-5059  |