Individual provider Active NPI

Kathy Thompson, FNP

  • Family Nurse Practitioner
  • Jena, LA
National Provider Identifier
1053973693
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206607 Issued in LA
Practice address
155 Ninth St
Jena, LA 71342-3900
Phone
(318) 992-9200
Fax
(318) 992-9245
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206607 LA Primary

Addresses

Primary practice location

155 Ninth St
Jena, LA 71342-3900

Mailing address

187 Ninth St
Jena, LA 71342-3900
Phone (318) 992-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240328001108 LA Practitioner - Nurse Practitioner 5092152835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District 2 of Lasalle Parish 13 clinicians

Practice addresses (Care Compare)

187 9TH St
Jena, LA 71342-3900
Phone (318) 992-9200

Hospital & facility affiliations

  • Lasalle Gen Hosp Home Health Agency Home health agency, Jena, LA, CCN 197058
  • Lasalle General Hospital Hospital, Jena, LA, CCN 190145
  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206607LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District #2 of Lasalle Parish CurrentSince Feb 12, 2024 Accepting new patients
Keystone Medical Services of Ferriday, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Hospital Service District #2 of Lasalle Parish Past Accepting new patients

Locations

180 Ninth St
Jena, LA 71342
Phone (318) 992-6311

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

Organizations & group practices 4

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1053973693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 NINTH ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423900",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NINTH ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423900",
            "telephone_number": "318-992-9200",
            "fax_number": "318-992-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

Verify at the official NPI Registry.