Active NPI
Alisha Thompson
- Case Manager/Care Coordinator
- Jersey City, NJ
National Provider Identifier
1093056400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 254 Clinton Ave Apt 2
Jersey City, NJ 07304-1608 - Phone
- (201) 424-5307
- NPI assigned
- Mar 11, 2013
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 965604 | NY | |
| Home Health Agency | 251E00000X | |||
| Nurse Practitioner | 363L00000X | A164584 | IA | |
| Case Manager/Care Coordinator | 171M00000X | NY | Primary | |
| Licensed Practical Nurse | 164W00000X | 55818 | SC | |
| Licensed Practical Nurse | 164W00000X | 291636 | NY | |
| Pastoral Counselor | 101YP1600X | |||
| Doula | 374J00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | NJ | ||
| Music Therapist | 225A00000X | NJ |
Addresses
Primary practice location
254 Clinton Ave Apt 2
Jersey City, NJ 07304-1608
Mailing address
254 Clinton Ave Apt 2
Jersey City, NJ 07304-1608
Phone (201) 424-5307
Other practice location 1
902 Drew St Apt 350
Brooklyn, NY 11208-5160
Phone (201) 424-5307
Other practice location 2
200 Tillary St
Brooklyn, NY 11201-3010
Phone (917) 830-5239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XB12968X | Medicaid | NY |
Other names 1
- Tayana Thompson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 965604 | NY | MD | Registered Nurse |
| 55818 | SC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Advantage Support | Current | Accepting new patients | |
| Cathedral of Living Waters Inc. Dba Living Waters Transport | Licensed Practical Nurse | Current | Accepting new patients |
| Cathedral of Living Waters Incg | Licensed Practical Nurse | Current | Accepting new patients |
Locations
200 Tillary St
Brooklyn, NY 11201
Phone (718) 855-7485
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.
-
- Social Worker
- Jersey City, NJ
- NPI 1396553269
Licensed Practical Nurse
-
- Licensed Practical Nurse
- Jersey City, NJ
- NPI 1275497778
-
- Foster Care Agency
- Brooklyn, NY
- NPI 1780498311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780185600000",
"number": "1093056400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 CLINTON AVE APT 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041608",
"telephone_number": "201-424-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 CLINTON AVE APT 2",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073041608",
"telephone_number": "201-424-5307"
}
],
"practiceLocations": [
{
"address_1": "902 Drew St Apt 350",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112085160",
"country_code": "US",
"telephone_number": "201-424-5307",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Tillary St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112013010",
"country_code": "US",
"telephone_number": "917-830-5239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALISHA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2026-05-31",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "NY",
"license": "965604",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A164584",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": null,
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "SC",
"license": "55818",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "291636",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NJ",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XB12968X",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAYANA",
"last_name": "THOMPSON",
"credential": "LPN, RN, ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.