Active NPI
Diane Thompson, FNP
- Family Nurse Practitioner
- Latham, NY
National Provider Identifier
1144598517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F341803
- Practice address
- 1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074 - Phone
- (518) 348-3176
- NPI assigned
- Dec 13, 2011
- 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 | F341803 | NY | Primary |
Addresses
Primary practice location
1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Mailing address
1205 Troy Schenectady Rd Ste 101
Latham, NY 12110-1074
Phone (518) 348-3176
Other practice location 1
12 Washington St
Fort Edward, NY 12828-1734
Phone (518) 746-3885
Other practice location 2
135 North Rd
Wilton, NY 12831-1308
Phone (518) 926-1935
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 |
|---|---|---|---|
| F341803 | NY | MD | Family Nurse Practitioner |
Interoperability endpoints
- dmthompson@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1144598517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 TROY SCHENECTADY RD STE 101",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101074",
"telephone_number": "518-348-3176",
"fax_number": "844-658-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 TROY SCHENECTADY RD STE 101",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101074",
"telephone_number": "518-348-3176"
}
],
"practiceLocations": [
{
"address_1": "12 Washington St",
"address_purpose": "LOCATION",
"city": "Fort Edward",
"state": "NY",
"postal_code": "128281734",
"country_code": "US",
"telephone_number": "518-746-3885",
"fax_number": "518-581-3888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 North Rd",
"address_purpose": "LOCATION",
"city": "Wilton",
"state": "NY",
"postal_code": "128311308",
"country_code": "US",
"telephone_number": "518-926-1935",
"fax_number": "518-926-4804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "DIANE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.