Individual provider Active NPI

Natalie K Thompson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Provo, UT
National Provider Identifier
1215190657
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9824823-8900 Issued in UT
Practice address
1900 N State St
Provo, UT 84604-1305
Phone
(801) 373-2001
NPI assigned
Jul 7, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 200850067NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9824823-8900 UT Primary

Addresses

Primary practice location

1900 N State St
Provo, UT 84604-1305

Mailing address

1900 North State St.
Provo, UT 84604
Phone (801) 373-2001

Other practice location 1

6400 SE Lake Rd # 325
Portland, OR 97222
Phone (503) 786-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101101001551 OR Practitioner - Nurse Practitioner 8325232598 Reassigns benefits to 1 organization
I20170206001880 UT Practitioner - Nurse Practitioner 8325232598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shelly Savage M D LLCGroup PAC ID 7315917697, 7 clinicians

Practice addresses (Care Compare)

1900 N State St
Provo, UT 84604-1012

1900 N State St
Provo, UT 84604-1341
Phone (801) 373-2001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200850067NPORMDPsychiatric/Mental Health Nurse Practitioner
9824823-8900UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Solutions CurrentSince Nov 22, 2024 Accepting new patients
Community Counseling Solutions CurrentSince Nov 22, 2024 Accepting new patients
Grant County Current Accepting new patients
Community Counseling Solutions Past Accepting new patients
Strive Mental Health Past Accepting new patients

Locations

1212 W Linda Ave
Hermiston, OR 97838
Phone (541) 567-2536

595 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429

2515 Westgate
Pendleton, OR 97801
Phone (541) 276-0802

2525 Westgate
Pendleton, OR 97801
Phone (541) 429-8721

2583 Westgate
Pendleton, OR 97801
Phone (541) 276-6330

331 SE 2nd St
Pendleton, OR 97801
Phone (541) 276-6207

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215190657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTH STATE ST.",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-373-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846041305",
            "telephone_number": "801-373-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 SE Lake Rd # 325",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97222",
            "country_code": "US",
            "telephone_number": "503-786-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NATALIE",
        "middle_name": "K",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200850067NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "9824823-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.