Individual provider Active NPI

Talia Simone Thompson- Jones, FPA APRN - BC

  • Family Nurse Practitioner
  • Flossmoor, IL
National Provider Identifier
1194233106
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000543 Issued in IL
Practice address
19801 Governors Hwy Ste 140
Flossmoor, IL 60422-4363
Phone
(708) 635-6484
NPI assigned
Jan 12, 2018
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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 277000543 IL Primary

Addresses

Primary practice location

19801 Governors Hwy Ste 140
Flossmoor, IL 60422-4363

Mailing address

19801 Governors Hwy Ste 140
Flossmoor, IL 60422-4363
Phone (708) 991-2945

Other identifiers 2

IdentifierTypeStateIssuer
277000543OtherILFULL PRESCRIPTIVE AUTHORITY LICENSE
F400625230MedicaidIL

Other names 1

  • Mrs. Talia Thompson-Jones Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@premiumpractitioners.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20181214001382 IL Practitioner - Nurse Practitioner 0042555377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Services, LTD. CurrentSince Nov 1, 2018 Accepting new patients
Belle Lueur Wellness Spa LLC CurrentSince Sep 20, 2022 Accepting new patients
Chicagoland Infectious Disease PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

19801 Governors Hwy
Ste 140
Flossmoor, IL 60422
Phone (708) 600-0965

22660 Cicero Ave
Richton Park, IL 60471
Phone (708) 636-7000

430 E 162nd St
South Holland, IL 60473
Phone (312) 504-5757

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Organizations & group practices 4

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1194233106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY STE 140",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-991-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 GOVERNORS HWY STE 140",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604224363",
            "telephone_number": "708-635-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON- JONES",
        "first_name": "TALIA",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "credential": "FPA APRN - BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRESCRIPTIVE AUTHORITY LICENSE",
            "identifier": "277000543",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F400625230",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@premiumpractitioners.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19801 Governors Hwy Ste 140",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604224363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TALIA",
            "last_name": "THOMPSON-JONES",
            "prefix": "MRS.",
            "credential": "FPA APRN FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.