Carlos Thompson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

568106-1 Issued in NY

Practice address

25319 148TH Ave
Rosedale, NY 11422-2829

Phone

(518) 260-8128

NPI assigned

May 6, 2019

Last updated

May 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1316502206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25319 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25319 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222829",
            "telephone_number": "518-260-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "568106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Udele V. Taylor-Randall, M.D.
• Terry Karnovsky DDS PC
• Wesner Thenor-Louis, MD
• Shanice Ayana Thomas
• Robin Denese Thompson-Labissiere, DPT
• Cecilia Thompson
• Imogene Thompson, LPN
• Jenelle Nadia Thompson
• Lisa Thompson
• Paulette Andrea Tinson, RN

• Licensed Practical Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.