Individual provider Active NPI

Rachel Ann Gabriella Thompson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Lewiston, ME
National Provider Identifier
1235797739
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2956 Issued in ME
Practice address
72 Strawberry Ave
Lewiston, ME 04240-5952
Phone
(207) 782-2150
NPI assigned
May 31, 2019
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2956 ME Primary

Addresses

Primary practice location

72 Strawberry Ave
Lewiston, ME 04240-5952

Mailing address

10 Shirley St
Lewiston, ME 04240-4141
Phone (207) 402-0530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002058 ME Practitioner - Qualified Speech Language Pathologist 9638610769 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP2956MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Home Health Services, Inc Current Accepting new patients
Androscoggin Home Health Services, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Androscoggin Home Health Services, Inc. Speech-Language Pathologist CurrentSince Jul 1, 2024 Accepting new patients
Androscoggin Home Health Services, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

15 Strawberry Ave
Lewiston, ME 04240
Phone (207) 520-9329

710 Main St
#1
Lewiston, ME 04240
Phone (207) 741-1345

72 Strawberry Ave
Lewiston, ME 04240
Phone (207) 782-2150

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1235797739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHIRLEY ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404141",
            "telephone_number": "207-402-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405952",
            "telephone_number": "207-782-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RACHEL",
        "middle_name": "ANN GABRIELLA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.