Active NPI
Abigale Thompson
- Speech-Language Pathologist
- Eagle River, AK
National Provider Identifier
1225877517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 224412
- Practice address
- 12032 Business Blvd Ste a
Eagle River, AK 99577-7725 - Phone
- (907) 290-9595
- NPI assigned
- May 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 224412 | AK | Primary |
Addresses
Primary practice location
12032 Business Blvd Ste a
Eagle River, AK 99577-7725
Mailing address
12032 Business Blvd Ste a
Eagle River, AK 99577-7725
Phone (907) 290-9595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224412 | AK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1225877517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12032 BUSINESS BLVD STE A",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777725",
"telephone_number": "907-290-9595",
"fax_number": "800-645-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12032 BUSINESS BLVD STE A",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777725",
"telephone_number": "907-290-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ABIGALE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "224412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.