Individual provider Active NPI

Donna L Thompson, CRNP

  • Family Nurse Practitioner
  • Media, PA
National Provider Identifier
1104025501
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP006885B Issued in PA
Practice address
18 Soldier Song LN
Media, PA 19063-5223
Phone
(610) 299-6665
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TP006885B PA Primary

Addresses

Primary practice location

18 Soldier Song LN
Media, PA 19063-5223

Mailing address

18 Soldier Song LN
Media, PA 19063-5223
Phone (610) 299-6665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000127 PA Practitioner - Nurse Practitioner 0042397366 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC / Dba Midlantic Urology CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC CurrentSince Oct 1, 2017 Accepting new patients
Alliance Physician Services, PC Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients

Locations

1235 Old York Rd
Ste 210
Abington, PA 19001
Phone (215) 517-1100

1001 Chesterbrook Blvd
Fl 3
Berwyn, PA 19312
Phone (610) 576-7500

2100 Keystone Ave
Ste 307
Drexel Hill, PA 19026
Phone (610) 259-3000

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

3701 Market St
Fl 3
Philadelphia, PA 19104
Phone (215) 662-6035

3400 Spruce St
#2000
Philadelphia, PA 19104
Phone (215) 662-2982

250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800

Organizations & group practices 4

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1104025501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOLDIER SONG LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635223",
            "telephone_number": "610-299-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SOLDIER SONG LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635223",
            "telephone_number": "610-299-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP006885B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.