Gretta Lavonne Thompson, LINCENSED VOCATIONAL

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN188467 Issued in CA

Practice address

4450 W Century Blvd
Inglewood, CA 90304-1504

Phone

(310) 671-9247

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1407418197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E 43RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900113228",
            "telephone_number": "323-561-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W CENTURY BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903041504",
            "telephone_number": "310-671-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GRETTA",
        "middle_name": "LAVONNE",
        "credential": "LINCENSED VOCATIONAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN188467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VN188467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reagan Elyse Thomas, PA
• Ryan Thomas
• Sheila Thomas
• Tacora Camille Thomas, MSW
• Amanda Thompson, CCC-SLP
• Linda B Thompson
• Tamaiah Thompson
• Curtis L. Thornton
• Thrifty Payless Inc
• Monica Michelle Tiznado

• Licensed Vocational Nurse in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.