Active NPI
Shanica D Thompson
- Contractor
- West Monroe, LA
National Provider Identifier
1316409329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 009392062
- Practice address
- 213 Hodge St
West Monroe, LA 71291-2721 - Phone
- (318) 733-2113
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 009392062 | LA | Primary |
Addresses
Primary practice location
213 Hodge St
West Monroe, LA 71291-2721
Mailing address
213 Hodge St
West Monroe, LA 71291-2721
Phone (318) 733-2113
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009392062 | LA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1316409329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 HODGE ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912721",
"telephone_number": "318-733-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 HODGE ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712912721",
"telephone_number": "318-733-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHANICA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "LA",
"license": "009392062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.