Individual provider Active NPI

Jacqueline Elizabeth Thompson, M.ED

  • Community Health Worker
  • Mesquite, TX
National Provider Identifier
1417416959
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
120 W Main St Ste 220
Mesquite, TX 75149-4224
Phone
(214) 351-3490
NPI assigned
Mar 14, 2019
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

120 W Main St Ste 220
Mesquite, TX 75149-4224

Mailing address

7777 Glen America Dr Apt 322
Dallas, TX 75225-1839
Phone (806) 252-6048

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jthompson@childrenandfamilies.org
CONNECT URL jthompson@childrenandfamilies.org

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1417416959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 GLEN AMERICA DR APT 322",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752251839",
            "telephone_number": "806-252-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494224",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACQUELINE",
        "middle_name": "ELIZABETH",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthompson@childrenandfamilies.org",
            "affiliation": "N",
            "address_1": "120 W Main St Ste 220",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751494224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jthompson@childrenandfamilies.org",
            "affiliation": "N",
            "address_1": "120 W Main St Ste 220",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751494224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.