Individual provider Active NPI

Renee Nicole Thompson, D.C.

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1346577749
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8756 Issued in AZ
Practice address
1300 S Litchfield Rd Ste 220-R
Goodyear, AZ 85338-1513
Phone
(480) 597-4344
Fax
(602) 497-2476
NPI assigned
Nov 6, 2009
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0059714 VT
Chiropractor 111N00000X 8756 AZ Primary

Addresses

Primary practice location

1300 S Litchfield Rd Ste 220-R
Goodyear, AZ 85338-1513

Mailing address

1300 S Litchfield Rd Ste 220-R
Goodyear, AZ 85338-1513
Phone (480) 597-4344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115003355 AZ Practitioner - Chiropractic 5496943730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0059714VTMDChiropractor
8756AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Davis DC LLC Chiropractor CurrentSince Oct 8, 2018 Accepting new patients
Agape Family Chiropractic Chiropractor CurrentSince Mar 20, 2025 Accepting new patients

Locations

1300 S Litchfield Rd
Ste 220R
Goodyear, AZ 85338
Phone (480) 597-4344

1616 N Litchfield Rd
Ste 250
Goodyear, AZ 85395
Phone (623) 535-8661

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1346577749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD STE 220-R",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381513",
            "telephone_number": "480-597-4344",
            "fax_number": "602-497-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LITCHFIELD RD STE 220-R",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381513",
            "telephone_number": "480-597-4344",
            "fax_number": "602-497-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0059714",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.