Individual provider Active NPI

Michelle M Thompson, APRN

  • Family Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1013223213
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11595 Issued in OH
Practice address
1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612
Phone
(740) 313-7369
Fax
(740) 313-7614
NPI assigned
Aug 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11595 OH Primary

Addresses

Primary practice location

1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612

Mailing address

1156 Columbus Ave Ste C
Washington Court House, OH 43160-2612
Phone (740) 313-7369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140624000682 OH Order and Referring Only - Nurse Practitioner 2163672031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11595OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette County Memorial Hospital Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients

Organizations & group practices 2

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1013223213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 COLUMBUS AVE STE C",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602612",
            "telephone_number": "740-313-7369",
            "fax_number": "740-313-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 COLUMBUS AVE STE C",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431602612",
            "telephone_number": "740-313-7369",
            "fax_number": "740-313-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.