Individual provider Active NPI

Jessica D Thompson, D.C.

  • Chiropractor
  • Longmont, CO
National Provider Identifier
1073691812
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5988 Issued in CO
Practice address
1020 Ken Pratt Blvd
Unit G
Longmont, CO 80501-6375
Phone
(303) 772-8311
Fax
(303) 772-8558
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5988 CO Primary

Addresses

Primary practice location

1020 Ken Pratt Blvd
Unit G
Longmont, CO 80501-6375

Mailing address

1020 Ken Pratt Blvd
Unit G
Longmont, CO 80501-6375
Phone (303) 772-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000044 CO Practitioner - Chiropractic 3476585068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1325 Dry Creek Dr
Suite 307
Longmont, CO 80503-7751
Phone (303) 827-3541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5988COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Sportsphysio, LLC CurrentSince Feb 25, 2024 Accepting new patients
Garrow Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1073691812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KEN PRATT BLVD",
            "address_2": "UNIT G",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016375",
            "telephone_number": "303-772-8311",
            "fax_number": "303-772-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KEN PRATT BLVD",
            "address_2": "UNIT G",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016375",
            "telephone_number": "303-772-8311",
            "fax_number": "303-772-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JESSICA",
        "middle_name": "D",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.

Verify at the official NPI Registry.