Individual provider Active NPI

Misty Danielle Thompson, D.O.

  • Obstetrics & Gynecology Physician
  • Corbin, KY
National Provider Identifier
1386890812
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3528 Issued in KY
Practice address
1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796
Phone
(606) 528-5527
Fax
(606) 526-9687
NPI assigned
Aug 15, 2008
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 655 KY
Obstetrics & Gynecology Physician 207V00000X 3528 KY Primary

Addresses

Primary practice location

1019 Cumberland Falls Hwy Ste D141
Corbin, KY 40701-2796

Mailing address

210 Black Gold Blvd
Suite 212
Hazard, KY 41701-2620
Phone (606) 439-0326

Other identifiers 1

IdentifierTypeStateIssuer
7100210760MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000291 KY Practitioner - Obstetrics/Gynecology 1153570684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1019 Cumberland Falls Hwy
Suite D141
Corbin, KY 40701-2796
Phone (606) 528-5527

313 S Cherry St
Pineville, KY 40977-1724
Phone (606) 654-3338

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
655KYMDObstetrics & Gynecology Physician
3528KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Kentucky Medical Services Foundation, Inc Obstetrics & Gynecology CurrentSince Aug 24, 2013 Accepting new patients
Grace Community Health Center, Inc. Current Accepting new patients
Grace Community Health Center, Inc. CurrentSince Sep 1, 2016 Accepting new patients
University of Kentucky Past Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

1019 Cumberland Falls Hwy
Ste D141
Corbin, KY 40701
Phone (606) 528-5527

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

39 Cumberland Gap Plz
Gray, KY 40734
Phone (606) 526-9005

210 Black Gold Blvd
Ste 212
Hazard, KY 41701
Phone (606) 439-0326

750 Morton Blvd
Hazard, KY 41701
Phone (606) 439-1559

21154 Highway 421
Ste 1
Hyden, KY 41749

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Interoperability endpoints

  • Direct secure messaging: mthompson704568@direct.ochin.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1386890812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BLACK GOLD BLVD",
            "address_2": "SUITE 212",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012620",
            "telephone_number": "606-439-0326",
            "fax_number": "606-439-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CUMBERLAND FALLS HWY STE D141",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012796",
            "telephone_number": "606-528-5527",
            "fax_number": "606-526-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MISTY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "655",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "3528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100210760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.