Melissa Katie Thompson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135308 Issued in TX

Practice address

2955 Harrison St Ste 200
Beaumont, TX 77702-1156

Phone

(409) 923-1617

NPI assigned

Oct 9, 2017

Last updated

Oct 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Katie Dickson Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Beaumont Emergency Medicine Associates PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Beaumont, TX
  • NPI 1881716983
  Medicare reassignment NPD
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - Jasper Memorial

  • Rural Acute Care Hospital
  • Jasper, TX
  • NPI 1598749707
  NPD (past)
• Grigoriy Rodonaia MD PA

  dba Rodonaia Family Medicine and Aesthetics

  • Primary Care Clinic/Center
  • Beaumont, TX
  • NPI 1497992127
  NPD (past)

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1154831816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021156",
            "telephone_number": "409-923-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 HARRISON ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021156",
            "telephone_number": "409-923-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELISSA",
        "middle_name": "KATIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DICKSON",
            "middle_name": "KATIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Kathryn Thomas, SLP
• Amanda Rose Thompson
• Carmyn E Thompson
• Daniel Michael Thompson, MD
• Lauree Lynell Thompson, M.D.
• Nancy B Thompson, RN MSW LCSW LMPT
• Earle Stephen Thornhill, M.D.
• Curtis Doyle Thorpe, M.D.
• Three M Home Health LLC (Amazing Angels Home Health)
• Three M Hospice Care LLC (Amazing Angels Hospice)

• Family Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.