Individual provider Active NPI

Alisha Thompson

  • Case Manager/Care Coordinator
  • Jersey City, NJ
National Provider Identifier
1093056400
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
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

Updated by the provider on May 31, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 965604 NY
Home Health Agency 251E00000X
Nurse Practitioner 363L00000X A164584 IA
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
XB12968XMedicaidNY

Other names 1

  • Tayana Thompson Other name

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

LicenseStateTypeSpecialty
965604NYMDRegistered Nurse
55818SCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Advantage Support CurrentSince Feb 9, 2025 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.

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.

Verify at the official NPI Registry.