Active NPI
Alena Thompson, FNP-C
- Family Nurse Practitioner
- Springerville, AZ
National Provider Identifier
1104206879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10558
- Practice address
- 118 S Mountain Ave
Springerville, AZ 85938-5104 - Phone
- (928) 333-7333
- Fax
- (928) 333-7157
- NPI assigned
- Jun 8, 2015
- Last updated
- Mar 7, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10558 | AZ | Primary |
Addresses
Primary practice location
118 S Mountain Ave
Springerville, AZ 85938-5104
Mailing address
118 S Mountain Ave
Springerville, AZ 85938-5104
Phone (928) 333-7333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN210400 | Other | AZ | ARIZONA STATE BOARD OF NURSING RN NUMBER |
| AP10558 | Other | AZ | ARIZONA STATE BOARD OF NURSING NP NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10558 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tall Pines Wellness | Current | Accepting new patients | |
| Tia Arizona 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Multi-Specialty Clinic/Center
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- NPI 1497335988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104206879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 S MOUNTAIN AVE",
"city": "SPRINGERVILLE",
"state": "AZ",
"postal_code": "859385104",
"telephone_number": "928-333-7333",
"fax_number": "928-333-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 S MOUNTAIN AVE",
"city": "SPRINGERVILLE",
"state": "AZ",
"postal_code": "859385104",
"telephone_number": "928-333-7333",
"fax_number": "928-333-7157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALENA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF NURSING RN NUMBER",
"identifier": "RN210400",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE BOARD OF NURSING NP NUMBER",
"identifier": "AP10558",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springerville, AZ
- Robert Shupak, M.D.
- Tanette Stites, RN
- Sunrise Anesthesia & Pain Management, PLLC
- Sunrise Anesthesia & Pain Management, PLLC
- Sunrise Anesthesia & Pain Management, PLLC
- TJS Health Inc.
- Valley Spring Behavioral Health LLC
- Western Drug Inc (Western Drug)
- White Mountain Ambulance Service, Inc.
- White Mountain Pain Clinic, PLLC (White Mountain Pain Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.