Active NPI
Heather Nichole Thompson
- Behavior Technician
- Marianna, FL
National Provider Identifier
1245969252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB738261
- Practice address
- 5774 Highway 90
Marianna, FL 32446-5150 - Phone
- (850) 693-6609
- NPI assigned
- Jun 6, 2022
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB738261 | FL | Primary |
Addresses
Primary practice location
5774 Highway 90
Marianna, FL 32446-5150
Mailing address
5774 Highway 90
Marianna, FL 32446-5150
Phone (850) 693-6609
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heathermac1972@outlook.com | Direct | |
| Direct Messaging Address | bharley@teampbs.com | Direct |
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 |
|---|---|---|---|
| BACB738261 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1245969252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5774 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324465150",
"telephone_number": "850-693-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5774 HIGHWAY 90",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324465150",
"telephone_number": "850-693-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "HEATHER",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB738261",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "heathermac1972@outlook.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "5774 Highway 90",
"city": "Marianna",
"state": "FL",
"country_code": "US",
"postal_code": "324465150",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bharley@teampbs.com",
"affiliation": "N",
"endpointDescription": "supervisor's email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "5774 Highway 90",
"city": "Marianna",
"state": "FL",
"country_code": "US",
"postal_code": "324465150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.