Individual provider Active NPI

Takella Thompson

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1386595544
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11044297 Issued in FL
Practice address
4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone
(352) 379-6210
NPI assigned
Feb 4, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11044297 FL Primary

Addresses

Primary practice location

4200 NW 90TH Blvd
Gainesville, FL 32606-3809

Mailing address

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (352) 379-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313002180 FL Practitioner - Nurse Practitioner 2062995467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

220 SW Courtesy Way
Lake City, FL 32024-3812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11044297FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Resources LLC CurrentSince Mar 17, 2026 Accepting new patients

Locations

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1386595544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-379-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-379-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TAKELLA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11044297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.