Individual provider Active NPI

Carla Jeanne Thompson, M.D.

  • Pediatrics Physician
  • Bee Cave, TX
National Provider Identifier
1003021593
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N3346 Issued in TX
Practice address
15801 W Highway 71 BLDG 1
Bee Cave, TX 78738-2702
Phone
(512) 676-2500
Fax
(512) 406-7377
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N3346 TX Primary

Addresses

Primary practice location

15801 W Highway 71 BLDG 1
Bee Cave, TX 78738-2702

Mailing address

6210 E Hwy 290 Ste 420
Austin, TX 78723-1142

Other names 1

  • Carla Jeanne Bosworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000970 TX Practitioner - Pediatric Medicine 1153645619 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Aug 6, 2024 Accepting new patients
South Austin Family Practice Clinic, PLLC Pediatrics CurrentSince Dec 15, 2014 Accepting new patients
Austin Regional Clinic, PA Pediatrics CurrentSince Aug 6, 2024 Accepting new patients

Locations

5625 Eiger Rd
Ste 2
Austin, TX 78735

6210 E Highway 290
Austin, TX 78723

6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802

5625 Eiger Rd
Ste 200
Austin, TX 78735

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

12600 Hill Country Blvd
Bldg R-103
Bee Cave, TX 78738
Phone (512) 358-8180

15801 W Highway 71
Bldg 1
Bee Cave, TX 78738
Phone (512) 676-2500

15801 W State Highway 71
Ste 100
Bee Cave, TX 78738
Phone (512) 676-2500

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

Interoperability endpoints

  • Direct secure messaging: cthompson34406@arcmd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1003021593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HWY 290 STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15801 W HIGHWAY 71 BLDG 1",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787382702",
            "telephone_number": "512-676-2500",
            "fax_number": "512-406-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N3346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "BOSWORTH",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bee Cave, TX

Sources for this page

Verify at the official NPI Registry.