Active NPI
Myoshi Thomspon
- Nursing Care Agency
- Avon, OH
National Provider Identifier
1053089912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Practice address
- 33355 Health Campus Blvd
Avon, OH 44011-1399 - Phone
- (440) 937-9099
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
33355 Health Campus Blvd
Avon, OH 44011-1399
Mailing address
2107 Roosevelt Ave
Lorain, OH 44055-3429
Phone (440) 581-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109382963-00 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1053089912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 ROOSEVELT AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440553429",
"telephone_number": "440-581-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33355 HEALTH CAMPUS BLVD",
"city": "AVON",
"state": "OH",
"postal_code": "440111399",
"telephone_number": "440-937-9099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSPON",
"first_name": "MYOSHI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109382963-00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.