Individual provider Active NPI

Maria Thompson, MA, CCC-A

  • Audiologist
  • Bowling Green, KY
National Provider Identifier
1164428173
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000407 Issued in CT
Practice address
421 US 31W Byp
Bowling Green, KY 42101-1775
Phone
(270) 782-7768
Fax
(270) 781-9480
NPI assigned
Jun 23, 2005
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 273699 KY
Audiologist 231H00000X 000407 CT Primary

Addresses

Primary practice location

421 US 31W Byp
Bowling Green, KY 42101-1775

Mailing address

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-7768

Other identifiers 1

IdentifierTypeStateIssuer
4226602MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119000607 KY Practitioner - Qualified Audiologist 2567535248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-7768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000407CTMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
273699KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc Audiologist CurrentSince Dec 1, 2021 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Dec 1, 2021 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1164428173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775",
            "telephone_number": "270-782-7768",
            "fax_number": "270-781-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011775",
            "telephone_number": "270-782-7768",
            "fax_number": "270-781-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARIA",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "273699",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4226602",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.