Ila Karen Thompson

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3808 Red Oak CT
Lake Wales, FL 33898-8492

Phone

(336) 618-0059

NPI assigned

Sep 22, 2015

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1093184871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 RED OAK CT",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988492",
            "telephone_number": "336-618-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 RED OAK CT",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988492",
            "telephone_number": "336-618-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ILA",
        "middle_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Monique Thomas, OT
• Panchami Thomas, APRN
• Rebecca I Thomas, PTA
• Taylor Lea Thomas, CBHCMS 100732
• Ally G Thompson
• Katrina Thompson
• La'Tricia Thompson
• Stephanie Ann Tillman, LCSW
• Elizabeth Tingley, PSYD
• Adriana Torres

• Social Worker in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.