Kristan Anne Thompson, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN159396 Issued in GA

Practice address

114 Canal St
Suite 502 and 503
Pooler, GA 31322-4153

Phone

(912) 450-8000

Fax

(912) 450-8001

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)
• Downriver Community Services, Inc.

  dba Community First Health Centers

  • Federally Qualified Health Center (FQHC)
  • Port Huron, MI
  • NPI 1184935488
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1407048887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CANAL ST",
            "address_2": "SUITE 502 AND 503",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224153",
            "telephone_number": "912-450-8000",
            "fax_number": "912-450-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CANAL ST",
            "address_2": "SUITE 502 AND 503",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224153",
            "telephone_number": "912-450-8000",
            "fax_number": "912-450-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTAN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN159396",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN159396",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN159396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikki Thomas, LAPC
• Shariske D Thomas, LMSW
• Tyree Jarell Thomas
• Cassaundra Thompson, LPC
• Kelli Marie Thompson
• Lauren Thompson
• Layna Brenae Thompson, LCSW, LISW-CP
• Thrive Integrated Neuropsychological Services
• Felicia Tilles
• Andrea M Tillman, LMSW

• Adult Health Nurse Practitioner in Pooler, GA
• Providers in Pooler, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.