Active NPI
Patricia Arlene Thompson, DC
- Chiropractor
- Neosho, MO
National Provider Identifier
1124141080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004842
- Practice address
- 115 S Neosho Blvd
Neosho, MO 64850-1605 - Phone
- (417) 451-0900
- Fax
- (417) 451-0900
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004842 | MO | Primary |
Addresses
Primary practice location
115 S Neosho Blvd
Neosho, MO 64850-1605
Mailing address
115 S Neosho Blvd
Neosho, MO 64850-1605
Phone (417) 451-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6188 | Other | MO | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004842 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124141080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S NEOSHO BLVD",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501605",
"telephone_number": "417-451-0900",
"fax_number": "417-451-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S NEOSHO BLVD",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501605",
"telephone_number": "417-451-0900",
"fax_number": "417-451-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PATRICIA",
"middle_name": "ARLENE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "004842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6188",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.