Individual provider Active NPI

Maria Thompson, LPN/BAT/CPC/PRSS

  • Licensed Practical Nurse
  • Jena, LA
National Provider Identifier
1265829071
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
20192470 Issued in LA
Practice address
155 Ninth St Ste C
Jena, LA 71342-3900
Phone
(318) 992-9238
Fax
(318) 992-9162
NPI assigned
Apr 20, 2015
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X
Licensed Practical Nurse 164W00000X L0059076 OK
Licensed Practical Nurse 164W00000X 20192470 LA Primary
Health Information Technician 247000000X
Community Health Worker 172V00000X

Addresses

Primary practice location

155 Ninth St Ste C
Jena, LA 71342-3900

Mailing address

PO Box 2512
Jena, LA 71342-2512
Phone (318) 992-9238

Other practice location 1

7777 E US Highway 66
El Reno, OK 73036-9125
Phone (405) 422-8832

Other identifiers 2

IdentifierTypeStateIssuer
20192470OtherLALOUISIANA BOARD OF NURSING
59076OtherOKOKLAHOMA NURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.thompson@lgh-jena.org 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

LicenseStateTypeSpecialty
20192470LAMDLicensed Practical Nurse
L0059076OKMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1265829071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2512",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713422512",
            "telephone_number": "318-992-9238",
            "fax_number": "318-992-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 NINTH ST STE C",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713423900",
            "telephone_number": "318-992-9238",
            "fax_number": "318-992-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 E US Highway 66",
            "address_purpose": "LOCATION",
            "city": "El Reno",
            "state": "OK",
            "postal_code": "730369125",
            "country_code": "US",
            "telephone_number": "405-422-8832",
            "fax_number": "405-422-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARIA",
        "credential": "LPN/BAT/CPC/PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0059076",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20192470",
            "primary": true
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BOARD OF NURSING",
            "identifier": "20192470",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA NURSING LICENSE",
            "identifier": "59076",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.thompson@lgh-jena.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "155 Ninth St Ste C",
            "city": "Jena",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713423900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.