Theresa A Thompson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01117135 Issued in MI

Practice address

9062 W Oak LN
Lake City, MI 49651-8062

Phone

(231) 839-0083

NPI assigned

Dec 29, 2011

Sex

Female

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

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1255600755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9062 W OAK LN",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518062",
            "telephone_number": "231-839-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9062 W OAK LN",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496518062",
            "telephone_number": "231-839-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01117135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Slack
• Brittney Smith
• Leeann Marie Smith, LMT
• Suzanne Smith
• David Paul Taylor, HOME CARE GIVER
• Danay Marie Tossey, PTS
• Marianne Totton, OTR/L
• Elizabeth Dawn Tuck, FNP-C
• Stephen C. Wheeler, LPC, CTRS, SCL

• Speech-Language Pathologist in Lake City, MI
• Providers in Lake City, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.