Active NPI
Amy Suzanne Thompson, REGISTERED DIETITIAN
- Registered Dietitian
- Lapeer, MI
National Provider Identifier
1053468348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 421 N Madison St
Lapeer, MI 48446-2029 - Phone
- (810) 245-4523
- Fax
- (810) 245-7686
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
421 N Madison St
Lapeer, MI 48446-2029
Mailing address
421 N Madison St
Lapeer, MI 48446-2029
Phone (810) 245-4523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D40051 | Other | MI | BCBSM PIN |
| 01002584 | Other | MI | HEALTH PLUS OF MICHIGAN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition Matters, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1053468348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N MADISON ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484462029",
"telephone_number": "810-245-4523",
"fax_number": "810-245-7686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N MADISON ST",
"city": "LAPEER",
"state": "MI",
"postal_code": "484462029",
"telephone_number": "810-245-4523",
"fax_number": "810-245-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "AMY",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "0D40051",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "01002584",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lapeer, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.