Sally A Thompson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

702394 Issued in TX

Practice address

3515 Richmond Rd
Texarkana, TX 75503-0711

Phone

(903) 791-9355

Fax

(903) 831-7273

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pallicare, IncGroup PAC ID 8123429925, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sally.thompson.1@26850.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pallicare, Inc

  • Community Health Nurse Practitioner
  • Texarkana, TX
  • NPI 1316511884
  Medicare reassignment Care Compare group NPD
• Henderson Family Medicine, PLLC

  • Family Medicine Physician
  • Henderson, TX
  • NPI 1831415793
  Medicare reassignment NPD

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1003249558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SALLY",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "702394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Ervin Thomason Jr., LCDC, LPC
• Sheila Michele Thomason
• Douglas Thompson, MD
• Jennifer Thompson, MD
• John Mychal Thompson, MSN, APRN, AGNP-C
• Liam Thornell, PA-C
• Charles Neal Thornton, M.D.
• Jaymee Adriann Thornton
• Fankie Thurston, COTA
• Ashley Timmons

• Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.