Individual provider Active NPI

Christen Mariah Thompson, M.S., CF-SLP

  • Speech-Language Pathologist
  • Ludington, MI
National Provider Identifier
1386292142
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101007374 Issued in MI
Practice address
1000 E Tinkham Ave
Ludington, MI 49431-1568
Phone
(231) 845-6291
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7151001798 MI
Speech-Language Pathologist 235Z00000X 7101007374 MI Primary

Addresses

Primary practice location

1000 E Tinkham Ave
Ludington, MI 49431-1568

Mailing address

7605 Holton Rd
Holton, MI 49425-9533
Phone (810) 407-0889

Other practice location 1

701 Yowell Dr
Culpeper, VA 22701-1329
Phone (540) 825-9484

Other practice location 2

500 Sunset Ln
Culpeper, VA 22701-3918
Phone (540) 825-0713 ext. 2728

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7101007374MIMDSpeech-Language Pathologist
7151001798MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1386292142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 HOLTON RD",
            "city": "HOLTON",
            "state": "MI",
            "postal_code": "494259533",
            "telephone_number": "810-407-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E TINKHAM AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311568",
            "telephone_number": "231-845-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Yowell Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227011329",
            "country_code": "US",
            "telephone_number": "540-825-9484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013918",
            "country_code": "US",
            "telephone_number": "540-825-0713 x2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHRISTEN",
        "middle_name": "MARIAH",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151001798",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.