Kevin Lynn Thompson, BSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2243 Eddie Williams Rd
Johnson City, TN 37601-2872

Phone

(423) 975-6000

Fax

(423) 467-3644

NPI assigned

Sep 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Frontier Health

  dba Victory Center

  • Rehabilitation Clinic/Center
  • Johnson City, TN
  • NPI 1730245010
  NPD (past)

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1184957177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 EDDIE WILLIAMS RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012872",
            "telephone_number": "423-975-6000",
            "fax_number": "423-467-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KEVIN",
        "middle_name": "LYNN",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Shawn Thomas, DO
• Morgan Thomas, PHARMD
• Vinaya Ann Thomas
• Jefferson Thompson
• Julia E Thompson, PHD
• Kiara Danielle Thompson
• Nikita Marie Thompson
• Seth Clayton Thompson, M.D.
• Heather Thornton
• Katie Thorpe, DO

• Case Manager/Care Coordinator in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Case Manager/Care Coordinator in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.