Individual provider Active NPI

Heather Thompson, PMHNP-DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Luling, LA
National Provider Identifier
1235808544
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
134807 Issued in LA
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(985) 785-3768
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 134807 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

200 Cedar St
Raceland, LA 70394-2723
Phone (985) 855-8897

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220525002513 LA Practitioner - Nurse Practitioner 2769860188 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134807LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Coast Community Health Center Inc CurrentSince Apr 22, 2022 Accepting new patients
Life Coast Community Health Center Inc Single Specialty CurrentSince Apr 22, 2022 Accepting new patients

Locations

605 Enterprise Dr
Ste C
Houma, LA 70360
Phone (985) 360-3755

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

1101 Audubon Ave
Ste S1
Thibodaux, LA 70301
Phone (985) 447-6444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1235808544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CEDAR ST",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942723",
            "telephone_number": "985-855-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEATHER",
        "credential": "PMHNP-DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "134807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.