Clay Thompson, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

SP029525 Issued in PA

Practice address

471 Hepburn St
Williamsport, PA 17701-6122

Phone

(570) 567-5400

NPI assigned

Mar 28, 2024

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• River Valley Health

  dba River Valley Health & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Lock Haven, PA
  • NPI 1174254262

  Family Medicine

  NPD (past)
• River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Williamsport, PA
  • NPI 1184998361
  NPD (past)
• River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Williamsport, PA
  • NPI 1790333292
  NPD (past)

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1235980194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SAINT JOHN ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371520",
            "telephone_number": "570-974-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HEPBURN ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177016122",
            "telephone_number": "570-567-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CLAY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP029525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Nutrition Specialist, LLC
• Kyle Creighton Thiel, CRNP, ACNP
• Morgan Thomas-Brown, M.D.
• Ashley L Thomas, CRNP
• Brandy Lachelle Thompson-Fisher, LCSW
• Tiffany Thorpe, DDS
• Thrift Drug Inc (Rite Aid Pharmacy 11036)
• Richard Franklin Tignor, M.D.
• Jessica Todd
• Joni P Todhunter, REGISTERED NURSE

• Family Medicine Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.

Verify at the official NPI Registry.