Christie Ann Thornberry, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2018020107 Issued in MO

Practice address

2000 SE Blue Pkwy Ste 270B
Lees Summit, MO 64063-1029

Phone

(816) 524-8488

Fax

(877) 422-9013

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Carpenter Ann Carpenter Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christie.thornberry.1@4045.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4

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.

• Advanced Urgent Care LLC

  dba Advanced Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Brighton, CO
  • NPI 1841579703
  NPD
• Healthone Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Highlands Ranch, CO
  • NPI 1174129522
  NPD
• Platte River Medical Clinic LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1477667244
  NPD
• Family Care at Arbor Walk, LLC

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1407899131
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1255823068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PKWY STE 270B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631029",
            "telephone_number": "816-524-8488",
            "fax_number": "877-422-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SE BLUE PKWY STE 270B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640631029",
            "telephone_number": "816-524-8488",
            "fax_number": "877-422-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "CHRISTIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78195",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018020107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARPENTER",
            "last_name": "CARPENTER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brett Thompson
• Carissa Marie Thompson
• Molly Thompson, COTA/L
• Nash O Thompson, DC
• Sarah Thompson, RD LD
• Deanna Thorne
• Danielle M Thornton, LMT
• Kristyn Kuplen Thorpe, MSN, FNP-C
• Thriving for Tomorrow, LLC
• Throwing Stones, LLC (Zen Massage & Facials)

• Nurse Practitioner in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.