Tara Thompson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP016645 Issued in PA

Practice address

3311 Society Dr
Claymont, DE 19703-1711

Phone

(267) 934-7981

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Human Services, Inc

  • Adult Mental Health Clinic/Center
  • Oxford, PA
  • NPI 1235300922
  NPD
• Human Services, Inc

  • Adult Mental Health Clinic/Center
  • Coatesville, PA
  • NPI 1245403237
  NPD
• Human Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Coatesville, PA
  • NPI 1154887693
  NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  NPD
• Prospect Health Access Network, Inc.

  • Urology Physician
  • Drexel Hill, PA
  • NPI 1982152294
  NPD
• Tower Drexel Academic Medical Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1003459702
  NPD
• Tower Drexel Academic Medical Group LLC

  • Sports Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1225660095
  NPD
• Tower Drexel Academic Medical Group LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1780227488
  NPD

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1013469162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031711",
            "telephone_number": "267-934-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 SOCIETY DR",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031711",
            "telephone_number": "267-934-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP016645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Taylor
• Taylor'S Health Service
• Therapy With Katherine LLC
• Karen Thomas
• Sarah M Thompson, FNP
• Lakeeya Thornton, LSW
• Tomaro'S Change
• Kathi Townsend
• Stephanie Tracy
• Demetria H Tzinoudis, RN

• Psychiatric/Mental Health Nurse Practitioner in Claymont, DE
• Providers in Claymont, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.