Active NPI
Candy L. Thompson, LPN
- Licensed Practical Nurse
- Cohoes, NY
National Provider Identifier
1346458999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 167095-1
- Practice address
- 352 N Mohawk St
Cohoes, NY 12047-1320 - Phone
- (518) 237-2954
- NPI assigned
- May 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 167095-1 | NY | Primary |
| Licensed Practical Nurse | 164W00000X | 167095-01 | NY |
Addresses
Primary practice location
352 N Mohawk St
Cohoes, NY 12047-1320
Mailing address
2 N Pointe Apt 3S
Halfmoon, NY 12065-4326
Phone (518) 961-8890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02404777 | Medicaid | NY | |
| 1346458999 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Halfmoon | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 167095-01 | NY | MD | Licensed Practical Nurse |
| 167095-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1346458999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N POINTE APT 3S",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120654326",
"telephone_number": "518-961-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 N MOHAWK ST",
"city": "COHOES",
"state": "NY",
"postal_code": "120471320",
"telephone_number": "518-237-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CANDY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "167095-1",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "167095-01",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02404777",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346458999",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Halfmoon",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 N Pointe Apt 3S",
"city": "Halfmoon",
"state": "NY",
"country_code": "US",
"postal_code": "120654326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.