Active NPI
Pearline V Thompson
- Driver
- Milwaukee, WI
National Provider Identifier
1093370843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- T512-6787256009
- Practice address
- 3906 N Vel R Phillips Ave
Milwaukee, WI 53212-1114 - Phone
- (414) 326-5740
- NPI assigned
- May 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | WI | ||
| Case Manager/Care Coordinator | 171M00000X | WI | ||
| Driver | 172A00000X | T512-6787256009 | WI | Primary |
Addresses
Primary practice location
3906 N Vel R Phillips Ave
Milwaukee, WI 53212-1114
Mailing address
3904 N Vel R Phillips Ave
Milwaukee, WI 53212-1114
Phone (414) 315-2823
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 |
|---|---|---|---|
| T512-6787256009 | WI | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open With Arms, LLC | Current | Accepting new patients | |
| Round & Round Destination LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Care Home Facility
- Milwaukee, WI
- NPI 1417512260
-
- Transportation Network Company
- Milwaukee, WI
- NPI 1548995053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1093370843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3904 N VEL R PHILLIPS AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121114",
"telephone_number": "414-315-2823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3906 N VEL R PHILLIPS AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532121114",
"telephone_number": "414-326-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PEARLINE",
"middle_name": "V",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "WI",
"license": "T512-6787256009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.