Individual provider Active NPI

Codi Sue Thompson, RDN, LD, CLC, CDE

  • Registered Dietitian
  • Riverton, WY
National Provider Identifier
1285027953
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
032 Issued in WY
Practice address
904 W Sunset Dr
Riverton, WY 82501-2307
Phone
(307) 349-1804
Fax
(307) 851-1465
NPI assigned
Mar 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 032 WY Primary

Addresses

Primary practice location

904 W Sunset Dr
Riverton, WY 82501-2307

Mailing address

PO Box 1606
Riverton, WY 82501-0197
Phone (307) 349-1804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406001837 WY Practitioner - Registered Dietitian Or Nutrition Professional 5991068850 Practice locations: Riverton, WY

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

904 W Sunset Dr
Riverton, WY 82501-2307
Phone (307) 349-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032WYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Codi S Thompson Dietitian, Registered CurrentSince Feb 15, 2018 Accepting new patients

Locations

904 W Sunset Dr
Riverton, WY 82501
Phone (307) 349-1804

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1285027953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1606",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010197",
            "telephone_number": "307-349-1804",
            "fax_number": "307-851-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W SUNSET DR",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012307",
            "telephone_number": "307-349-1804",
            "fax_number": "307-851-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CODI",
        "middle_name": "SUE",
        "credential": "RDN, LD, CLC, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WY",
            "license": "032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.