Active NPI
Wyndi T Thompson, CRNP, DNP
- Nurse Practitioner
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-090101
- Practice address
- 101 Professional LN
Enterprise, AL 36330-2085 - Phone
- (334) 347-3404
- Fax
- (334) 393-0613
- NPI assigned
- Nov 15, 2007
- Last updated
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-090101 | AL | Primary |
Addresses
Primary practice location
101 Professional LN
Enterprise, AL 36330-2085
Mailing address
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 712-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
1245 Westgate Pkwy
Dothan, AL 36303
Phone (334) 793-9595
252 Larkin Rd
Elba, AL 36323
Phone (334) 670-5427
101 Professional Ln
Enterprise, AL 36330
Phone (334) 347-3404
1376 Brickyard Rd
Chipley, FL 32428
Phone (850) 638-0552
Organizations & group practices 7
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.
-
dba Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
dba Southeast Reference Services
- Clinical Medical Laboratory
- Dothan, AL
- NPI 1114161601
-
dba First Med of Dothan
- Family Medicine Physician
- Dothan, AL
- NPI 1205869641
-
dba SAMC- Profee Billing
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
-
- Pharmacy
- Dothan, AL
- NPI 1053526368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574208000000",
"number": "1396926515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-712-3314",
"fax_number": "334-793-8751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROFESSIONAL LN",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302085",
"telephone_number": "334-347-3404",
"fax_number": "334-393-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "WYNDI",
"middle_name": "T",
"credential": "CRNP, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2019-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-090101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.