Individual provider Active NPI

Lilleth Thompson, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1174121636
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334249-01 Issued in NY
Practice address
305 E 86TH St
New York, NY 10028-4702
Phone
(904) 569-9891
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334249-01 NY Primary

Addresses

Primary practice location

305 E 86TH St
New York, NY 10028-4702

Mailing address

11848 233Rd St
Jamaica, NY 11411-2228
Phone (347) 331-5617

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Lilleth.Thompson@vnsny.org Direct CVS State Capital, L.L.C.
CONNECT URL Lilleth.Thompson@vnsny.org Health Information Exchange (HIE) CVS State Capital, L.L.C.
CONNECT URL Lilleth.Thompson@vnsny.org Health Information Exchange (HIE) CVS State Capital, L.L.C.
Direct Messaging Address Lilleth.Thompson@vnsny.org Direct CVS State Capital, L.L.C.

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F334249-01NYMDFamily Nurse Practitioner

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: lilleth.thompson@vnsny.org

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1174121636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11848 233RD ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114112228",
            "telephone_number": "347-331-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100284702",
            "telephone_number": "904-569-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LILLETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334249-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lilleth.Thompson@vnsny.org",
            "affiliation": "Y",
            "endpointDescription": "Minute clinic",
            "affiliationName": "CVS State Capital, L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 E 86th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100284702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lilleth.Thompson@vnsny.org",
            "affiliation": "Y",
            "affiliationName": "CVS State Capital, L.L.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 E 86th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100284702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lilleth.Thompson@vnsny.org",
            "affiliation": "Y",
            "affiliationName": "CVS State Capital, L.L.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 E 86th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100284702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lilleth.Thompson@vnsny.org",
            "affiliation": "Y",
            "endpointDescription": "Minute clinic",
            "affiliationName": "CVS State Capital, L.L.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 E 86th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100284702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.