Active NPI
Vicki Jean Thomson, MD
- Pediatrics Physician
- Edina, MN
National Provider Identifier
1316940778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22826
- Practice address
- 7380 France Ave S
Edina, MN 55435-4535 - Phone
- (952) 927-7337
- Fax
- (952) 927-8610
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22826 | MN | Primary |
Addresses
Primary practice location
7380 France Ave S
Edina, MN 55435-4535
Mailing address
7380 France Ave S
Edina, MN 55435-4535
Phone (952) 927-7337
Other practice location 1
7380 France Ave S
Edina, MN 55435-4535
Phone (952) 927-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 828788100 | Medicaid | MN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22826 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1316940778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7380 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554354535",
"telephone_number": "952-927-7337",
"fax_number": "952-927-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7380 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554354535",
"telephone_number": "952-927-7337",
"fax_number": "952-927-8610"
}
],
"practiceLocations": [
{
"address_1": "7380 France Ave S",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554354535",
"country_code": "US",
"telephone_number": "952-927-7337",
"fax_number": "952-927-8610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSON",
"first_name": "VICKI",
"middle_name": "JEAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "22826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "828788100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.