Individual provider Active NPI

Heather Ann Thompson, APRN

  • Family Nurse Practitioner
  • Monticello, KY
National Provider Identifier
1417434200
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012517 Issued in KY
Practice address
1520 N Main St Ste 3
Monticello, KY 42633-2908
Phone
(606) 753-6013
Fax
(606) 753-6020
NPI assigned
Jul 24, 2018
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012517 KY Primary

Addresses

Primary practice location

1520 N Main St Ste 3
Monticello, KY 42633-2908

Mailing address

1520 N Main St Ste 3
Monticello, KY 42633-2908
Phone (606) 753-6013

Other identifiers 1

IdentifierTypeStateIssuer
7100627300MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520000904 KY Practitioner - Nurse Practitioner 5991048712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spero Health of Kentucky, LLCGroup PAC ID 1052792041, 57 clinicians

Practice addresses (Care Compare)

1520 N Main St
Suite 3
Monticello, KY 42633-2908
Phone (606) 753-6013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Physician Practices LLC CurrentSince Oct 28, 2019 Accepting new patients
Lake Cumberland Physician Practices, LLC Current Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

182 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 435-0886

1520 N Main St
Ste 3
Monticello, KY 42633
Phone (606) 753-6013

103 Hardin Ln
Ste A
Somerset, KY 42503
Phone (606) 451-0300

120 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 451-0300

30 Tower Cir
Somerset, KY 42503
Phone (606) 451-8644

56 Tower Cir
Somerset, KY 42503
Phone (606) 677-2913

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15550/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1417434200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MAIN ST STE 3",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332908",
            "telephone_number": "606-753-6013",
            "fax_number": "606-753-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MAIN ST STE 3",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332908",
            "telephone_number": "606-753-6013",
            "fax_number": "606-753-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100627300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

Verify at the official NPI Registry.