Active NPI
Lavern Elizabeth Thompson, LPN
- Licensed Practical Nurse
- Goshen, NY
National Provider Identifier
1356618730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 270709
- Practice address
- 252 Main St
Goshen, NY 10924-2178 - Phone
- (845) 294-8364
- Fax
- (845) 294-8966
- NPI assigned
- Nov 29, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 270709 | NY | Primary |
Addresses
Primary practice location
252 Main St
Goshen, NY 10924-2178
Mailing address
173 Darin Rd
Warwick, NY 10990-4023
Phone (845) 642-8641
Other names 1
- Lavern Elizabeth Walton
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 |
|---|---|---|---|
| 270709 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Home Care, LTD. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Goshen, NY
- NPI 1912016932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1356618730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 DARIN RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109904023",
"telephone_number": "845-642-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 MAIN ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109242178",
"telephone_number": "845-294-8364",
"fax_number": "845-294-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "LAVERN",
"middle_name": "ELIZABETH",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "270709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAVERN",
"last_name": "WALTON",
"middle_name": "ELIZABETH",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goshen, NY
- Stephanie Kay Terranera, M.S, CCC-SLP
- Brittany Terrill, DPT
- Teshonnell Inc. (Communication Station)
- The Psychotherapy Center for Personal Growth, Family Enhancement & Rec (The Center for Personal Development & Recovery)
- The W Group of Goshen, LLC (The W Senior Living at Goshen)
- Keri Thorn, MS CCC-SLP
- Morris A. Tilson, M.D.
- Nicole Jacqueline Tirelli
- Tom Gordon LCSW Therapy, PLLC
- Taylorann Torre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.