Individual provider Active NPI

Sandra St Louis Thompson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lenoir, NC
National Provider Identifier
1013525310
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013675 Issued in NC
Practice address
1345 NC Highway 268
Lenoir, NC 28645-9027
Phone
(828) 754-6850
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013675 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4035882 KY
Pain Medicine Physician 208VP0000X 5013675 NC
Nurse Practitioner 363L00000X 2332017 MA
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 0027139 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013675 NC
Primary Care Nurse Practitioner 363LP2300X 4035882 KY
Family Nurse Practitioner 363LF0000X 0027139 OH
Family Nurse Practitioner 363LF0000X 5013675 NC Primary

Addresses

Primary practice location

1345 NC Highway 268
Lenoir, NC 28645-9027

Mailing address

1345 NC Highway 268
Lenoir, NC 28645-9027
Phone (828) 754-6850

Other practice location 1

13304 Leesville Church Rd
Raleigh, NC 27617-5206
Phone (919) 845-5276

Other practice location 2

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Other identifiers 1

IdentifierTypeStateIssuer
0027139MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210818002523 OH Practitioner - Nurse Practitioner 1759786460 Reassigns benefits to 1 organization
I20211013002215 NC Practitioner - Nurse Practitioner 1759786460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2332017MAMDNurse Practitioner
5013675NCMDFamily Nurse Practitioner
4035882KYMDPsychiatric/Mental Health Nurse Practitioner
0027139OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of North Carolina PC Multi-Specialty CurrentSince Dec 13, 2021 Accepting new patients
Oasis Wellness Center LLC Multi-Specialty CurrentSince Feb 15, 2026 Accepting new patients
Family Resource Center of Northwest Ohio Inc Multi-Specialty CurrentSince Mar 7, 2022 Accepting new patients
Bethany Medical Center Multi-Specialty Past Accepting new patients
Moses Cone Medical Services, Inc. Multi-Specialty Past Accepting new patients
Generations Family Practice, PA Multi-Specialty Past Accepting new patients
Bethany Medical Center Multi-Specialty Past Accepting new patients

Locations

13304 Leesville Church Rd
Raleigh, NC 27617
Phone (919) 845-2489

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

1918 N Main St
Findlay, OH 45840
Phone (419) 425-5050

530 S Main St
Lima, OH 45804
Phone (419) 222-1168

Interoperability endpoints

  • Direct secure messaging: sandra.stlouisthompson@779530956636164.direct.elationemr.com

Organizations & group practices 7

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1013525310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NC HIGHWAY 268",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459027",
            "telephone_number": "828-754-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NC HIGHWAY 268",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286459027",
            "telephone_number": "828-754-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13304 Leesville Church Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276175206",
            "country_code": "US",
            "telephone_number": "919-845-5276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 N Lindsay St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624303",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST LOUIS THOMPSON",
        "first_name": "SANDRA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013675",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4035882",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "5013675",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2332017",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0027139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013675",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4035882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027139",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.