Kristin Thompson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209026932 Issued in IL

Practice address

2001 W Willow Knolls Dr Ste 201
Peoria, IL 61614-1261

Phone

(309) 219-1140

NPI assigned

Apr 5, 2023

Last updated

Apr 5, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Balanced Life Medical Services LLC

  • General Practice Physician
  • Morton, IL
  • NPI 1003270802
  NPD (past)

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1013602184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S KANSAS AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502636",
            "telephone_number": "309-258-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W WILLOW KNOLLS DR STE 201",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141261",
            "telephone_number": "309-219-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen D. Thompson, DMD
• Jennifer N Thompson, M.D.
• Jeremiah James Thompson, D.C.
• Kaylee Thompson
• Kristen Thompson
• Lauren Ellen Thompson, M.D.
• Lori Thompson, MSN RN CDCES
• Maren Thompson, PHARM D
• Sherry Denise Thompson
• Stephen C Thompson, M.D.

• Family Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.