Active NPI
Crystal Lynn Thompson, CNA
- Personal Care Attendant
- De Soto, MO
National Provider Identifier
1376259283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 68542A
- Practice address
- 4381 McMillen Rd
De Soto, MO 63020-3213 - Phone
- (636) 633-3297
- NPI assigned
- Jan 24, 2023
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 68542A | MO | Primary |
Addresses
Primary practice location
4381 McMillen Rd
De Soto, MO 63020-3213
Mailing address
4381 McMillen Rd
De Soto, MO 63020-3213
Phone (636) 633-3297
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 |
|---|---|---|---|
| 68542A | MO | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1376259283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 MCMILLEN RD",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630203213",
"telephone_number": "636-633-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 MCMILLEN RD",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630203213",
"telephone_number": "636-633-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CRYSTAL",
"middle_name": "LYNN",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "MO",
"license": "68542A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Soto, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.