Michelle Thompson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P30452 Issued in SC

Practice address

1113 Belleview St Ste 103
Columbia, SC 29201-1839

Phone

(803) 205-4006

NPI assigned

Jan 31, 2020

Sex

Female

Sole proprietor

Yes

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.

• Memory Fit LLC

  • Point of Service
  • Columbia, SC
  • NPI 1548891088
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 31, 2020.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1407487127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 BELLEVIEW ST STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 BELLEVIEW ST STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-205-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "P30452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristee C Thompson, RT
• Kristy L Thompson, NP
• Makenna Thompson
• Mary Aline Thompson, PHARMD
• Megan Danielle Thompson, LMSW
• Nicholas Thompson, LMT
• Pamela Thompson
• Paris Thompson, DNP, FNP-C
• Rebecca Brett Thompson, LISW-CP
• Robert Scott Thompson, DO

• All providers in Columbia, SC
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.