Individual provider Active NPI

Ernestine Thompson

  • Prosthetics Case Management
  • Stoughton, MA
National Provider Identifier
1417646191
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
1103080 Issued in MA
Practice address
52 Porter St
Stoughton, MA 02072
Phone
(781) 341-3400
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 1103080 MA Primary

Addresses

Primary practice location

52 Porter St
Stoughton, MA 02072

Mailing address

65 Westmore Rd
Mattapan, MA 02126
Phone (617) 256-3355

Other practice location 1

112 West 9th Street SUITE 230
Los Angeles, CA 90015
Phone (617) 256-3355

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

LicenseStateTypeSpecialty
1103080MAMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Muffens International Services Inc CurrentSince May 14, 2023 Accepting new patients

Locations

112 W 9th St
Ste 230
Los Angeles, CA 90015
Phone (617) 256-3355

52 Porter St
Stoughton, MA 02072
Phone (617) 434-3395

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1417646191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WESTMORE RD",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "02126",
            "telephone_number": "617-256-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PORTER ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "781-341-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 West 9th Street SUITE 230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "617-256-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ERNESTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MA",
            "license": "1103080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.