Individual provider Active NPI

Kassander Thompson, AUD

  • Audiologist
  • Norway, ME
National Provider Identifier
1174366009
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP4141 Issued in ME
Practice address
159 Main St FL 2
Norway, ME 04268-5638
Phone
(207) 743-2945
NPI assigned
Jun 18, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP4141 ME Primary

Addresses

Primary practice location

159 Main St FL 2
Norway, ME 04268-5638

Mailing address

159 Main St FL 2
Norway, ME 04268-5638
Phone (207) 743-2945

Other names 1

  • Kassander A Thompson Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004223 ME Practitioner - Qualified Audiologist 3274074166 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jul 15, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Jul 15, 2024 Accepting new patients
Mainehealth Past Accepting new patients

Locations

193 Main St
Norway, ME 04268
Phone (207) 743-2544

159 Main St
Fl 2
Norway, ME 04268
Phone (207) 743-2945

159 Main St
#2
Norway, ME 04268

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1174366009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN ST FL 2",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685638",
            "telephone_number": "207-743-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAIN ST FL 2",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685638",
            "telephone_number": "207-743-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KASSANDER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSANDER",
            "last_name": "THOMPSON",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norway, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.