Individual provider Active NPI

Kristine Marie Thompson, APRN-CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1003516311
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
211637 Issued in OK
Practice address
4140 W Memorial Rd Ste 215
Oklahoma City, OK 73120-8361
Phone
(405) 242-4030
Fax
(405) 242-4031
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 211637 OK
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 211637 OK
Nurse Practitioner 363L00000X 211637 OK Primary

Addresses

Primary practice location

4140 W Memorial Rd Ste 215
Oklahoma City, OK 73120-8361

Mailing address

4140 W Memorial Rd Ste 215
Oklahoma City, OK 73120-8361
Phone (405) 242-4030

Other practice location 1

2605 Countrywood Ln
Edmond, OK 73012-6437
Phone (405) 205-2169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20230628002022 OK Practitioner - Nurse Practitioner 7719345495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211637OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jun 9, 2025 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 3, 2023 Accepting new patients
Ou Health Partners, Inc CurrentSince Jun 9, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

1200 Childrens Ave
Ste 1A
Oklahoma City, OK 73104
Phone (405) 271-4665

1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4140 W Memorial Rd
Ste 215
Oklahoma City, OK 73120
Phone (405) 242-4030

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1003516311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208361",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 W MEMORIAL RD STE 215",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208361",
            "telephone_number": "405-242-4030",
            "fax_number": "405-242-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 Countrywood Ln",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730126437",
            "country_code": "US",
            "telephone_number": "405-205-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "211637",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OK",
            "license": "211637",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "211637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.