Individual provider Active NPI

Raynice Thompson, LPN

  • Licensed Practical Nurse
  • Washington, DC
National Provider Identifier
1114613676
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1007230 Issued in DC
Practice address
2101 Martin Luther King Jr Ave SE # 1220
Washington, DC 20020-5702
Phone
(202) 585-7687
Fax
(202) 442-1199
NPI assigned
Apr 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP23978 MD
Licensed Practical Nurse 164W00000X LPN1007230 DC Primary

Addresses

Primary practice location

2101 Martin Luther King Jr Ave SE # 1220
Washington, DC 20020-5702

Mailing address

2101 Martin Luther King Jr Ave SE # 1220
Washington, DC 20020-5702
Phone (202) 585-7687

Other practice location 1

714 Crawford St
Oxon Hill, MD 20745-1105
Phone (301) 404-8496

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
LPN1007230DCMDLicensed Practical Nurse
LP23978MDMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1114613676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MARTIN LUTHER KING JR AVE SE # 1220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205702",
            "telephone_number": "202-585-7687",
            "fax_number": "202-442-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MARTIN LUTHER KING JR AVE SE # 1220",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205702",
            "telephone_number": "202-585-7687",
            "fax_number": "202-442-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 Crawford St",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451105",
            "country_code": "US",
            "telephone_number": "301-404-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RAYNICE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP23978",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1007230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.