Individual provider Active NPI

Melba Jean Thompson, R.N.

  • Registered Nurse
  • Saint Petersburg, FL
National Provider Identifier
1235397944
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN931622 Issued in FL
Practice address
4020 Park St N
Suite 103
Saint Petersburg, FL 33709-4030
Phone
(727) 345-8614
Fax
(727) 345-9319
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN931622 FL Primary

Addresses

Primary practice location

4020 Park St N
Suite 103
Saint Petersburg, FL 33709-4030

Mailing address

4020 Park St N
Suite 103
Saint Petersburg, FL 33709-4030
Phone (727) 345-8614

Other identifiers 1

IdentifierTypeStateIssuer
RN931622OtherFLSTATE OF FLORIDA REGISTERED NURSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN931622FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1235397944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PARK ST N",
            "address_2": "SUITE 103",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094030",
            "telephone_number": "727-345-8614",
            "fax_number": "727-345-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PARK ST N",
            "address_2": "SUITE 103",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337094030",
            "telephone_number": "727-345-8614",
            "fax_number": "727-345-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MELBA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN931622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA REGISTERED NURSE",
            "identifier": "RN931622",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.