Kayla Thompson, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP017771 Issued in PA

Practice address

3901 S Atherton St Ste 5
State College, PA 16801-8324

Phone

(814) 466-7921

Fax

(814) 466-6570

NPI assigned

Sep 13, 2017

Last updated

May 23, 2024By the provider in NPPES

Sex

Female

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mount Nittany Medical Center Health Services Inc

  dba Mount Nittany Physician Group

  • Internal Medicine Physician
  • State College, PA
  • NPI 1598992554

  Nurse Practitioner

  Medicare reassignment NPD
• Children's Community Care

  dba Children's Community Pediatrics

  • Pediatrics Physician
  • Huntingdon, PA
  • NPI 1922463694
  NPD (past)
• Mount Nittany Medical Center Health Services Inc

  • Pain Clinic/Center
  • State College, PA
  • NPI 1407035553
  NPD (past)
• Pediatrics & Beyond LLC

  • Pediatrics Physician
  • Huntingdon, PA
  • NPI 1912008475
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1205355096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PARK AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036701",
            "telephone_number": "814-231-7100",
            "fax_number": "814-238-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S ATHERTON ST STE 5",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168018324",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Medical Park Ln",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168239112",
            "country_code": "US",
            "telephone_number": "814-355-3626",
            "fax_number": "814-355-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Greenview Drive",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "16803",
            "country_code": "US",
            "telephone_number": "814-231-3742",
            "fax_number": "814-231-7540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 Eisenhower Blvd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159043307",
            "country_code": "US",
            "telephone_number": "814-266-8840",
            "fax_number": "814-266-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10663 Raystown Rd",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "PA",
            "postal_code": "16652",
            "country_code": "US",
            "telephone_number": "814-627-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KAYLA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Warren Thomas, D.O.
• Lynn Wachter Thompson - Gregory, CRNP
• Aaron L Thompson, PA-C
• Ann M. Thompson, C.N.M. (RETIRED)
• Cheyenne Mary Thompson, MSW, LSW
• Winta Queenie Thompson
• Thrift Drug Inc (Rite Aid Pharmacy 11013)
• Thrift Drug Inc (Rite Aid Pharmacy 11014)
• Ewing Tibbels, M.D.
• Tiberio & Associates: Turning Point Therapy LLC

• Nurse Practitioner in State College, PA
• Providers in State College, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.