Individual provider Active NPI

Lyndsie Thompson, PA-C, MPAS

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1306215017
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
95289731206 Issued in UT
Practice address
4000 S 700 E
Suite 10
Salt Lake City, UT 84107-2180
Phone
(801) 268-4141
NPI assigned
Sep 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 95289731206 UT Primary

Addresses

Primary practice location

4000 S 700 E
Suite 10
Salt Lake City, UT 84107-2180

Mailing address

4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151130000121 UT Practitioner - Physician Assistant 0042510976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woseth Dermatology, P.C.Group PAC ID 1557392313, 10 clinicians

Practice addresses (Care Compare)

1548 E 4500
Suite 202
Salt Lake City, UT 84117-5209
Phone (801) 266-8841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
95289731206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Medical LLC CurrentSince Jul 15, 2017 Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Jul 15, 2017 Accepting new patients

Locations

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

Interoperability endpoints

  • Direct secure messaging: lthompson2023@woseth.emadirect.md

Organizations & group practices 4

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": "1442966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1306215017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E STE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072580",
            "telephone_number": "801-268-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "SUITE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072180",
            "telephone_number": "801-268-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LYNDSIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "95289731206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.