Individual provider Active NPI

Shannon Thompkins

  • In Home Supportive Care Agency
  • Marion, IN
National Provider Identifier
1295267003
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
16-013693-1 Issued in IN
Practice address
1622 W 32ND St
Marion, IN 46953-3432
Phone
(765) 573-5954
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 16-013693-1 IN Primary

Addresses

Primary practice location

1622 W 32ND St
Marion, IN 46953-3432

Mailing address

1622 W 32ND St
Marion, IN 46953-3432
Phone (765) 573-5954

Other identifiers 1

IdentifierTypeStateIssuer
47-1978676OtherINVA BENEFITS

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
16-013693-1INMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Lending Hands Personal Home Care Agency In Home Supportive Care Current Accepting new patients
Next Level Screening LLC Current Accepting new patients
Cerebrum Mindsight Behavioral Mental Health Clinic LLC Current Accepting new patients

Organizations & group practices 3

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1295267003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W 32ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469533432",
            "telephone_number": "765-573-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W 32ND ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469533432",
            "telephone_number": "765-573-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPKINS",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "16-013693-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BENEFITS",
            "identifier": "47-1978676",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.