Active NPI
Traci Thompson MD, PA
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1043984875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- TRACI THOMPSON MD, PA
- Practice address
- 904 E Henry Ave
Tampa, FL 33604-7143 - Phone
- (813) 501-7796
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Traci Thompson, MD
- Title
- Ceo
- Phone
- (410) 493-3901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
904 E Henry Ave
Tampa, FL 33604-7143
Mailing address
14714 Tudor Chase Dr
Tampa, FL 33626-3339
Phone (410) 493-3901
Other names 1
- Papillon Consulting
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2238972 | Traci Thompson MD PA | Provider-performed microscopy | Oct 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1740351782
-
- Nurse Practitioner
- Tampa, FL
- NPI 1679234488
-
- Family Nurse Practitioner
- Tampa, FL
- NPI 1164839643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1043984875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14714 TUDOR CHASE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336263339",
"telephone_number": "410-493-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 E HENRY AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336047143",
"telephone_number": "813-501-7796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACI THOMPSON MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "TRACI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-493-3901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Papillon Consulting",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.