Linda Mr Thomson, CPNP

Individual provider Active NPI Family Nurse Practitioner · Ludlow, VT

NPI 1265407613 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1265407613
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
101-0019806 (VT)
Practice address
131 Thomson Dr
Ludlow, VT 05149
Phone
(802) 558-9055
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 Thomson Dr
Ludlow, VT 05149-9535
Phone (802) 558-9055

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040211000098 VT Practitioner - Nurse Practitioner 7214821297 Reassigns benefits to 1 organization
Practice locations: Ludlow, VT

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0019806VTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Medical Care Systems Inc. Current
since Nov 4, 2010
Accepting new patients
Springfield Medical Care Systems Inc Current
since Nov 4, 2010
Accepting new patients

Locations

1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292

156 Wall St
Springfield, VT 05156
Phone (802) 591-3572

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101-0019806 VT Yes

Addresses

Primary practice location

131 Thomson Dr
Ludlow, VT 05149

Mailing address

131 Thomson Dr
Ludlow, VT 05149
Phone (802) 558-9055

Other identifiers

IdentifierTypeStateIssuer
ONP1500MedicaidVT

Other providers in Ludlow, VT

All providers in Ludlow, VT · Family Nurse Practitioner in Vermont

Sources for this page

Verify at the official NPI Registry.