Active NPI
Tara Sunshine Thompson, LMT
- Specialist
- Yakima, WA
National Provider Identifier
1417088048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00015454
- Practice address
- 1008 S 40TH Ave
Yakima, WA 98908-3804 - Phone
- (509) 972-4000
- Fax
- (509) 972-4001
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00015454 | WA | Primary |
Addresses
Primary practice location
1008 S 40TH Ave
Yakima, WA 98908-3804
Mailing address
1001 S 41St Ave # 7
Yakima, WA 98908-3843
Phone (509) 307-6961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00015454 | Other | WA | MASSAGE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015454 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroner Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Yakima, WA
- NPI 1588848626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417088048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S 41ST AVE # 7",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083843",
"telephone_number": "509-307-6961",
"fax_number": "509-972-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 S 40TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989083804",
"telephone_number": "509-972-4000",
"fax_number": "509-972-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TARA",
"middle_name": "SUNSHINE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00015454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE PRACTITIONER",
"identifier": "MA00015454",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.