Individual provider Active NPI

Roslyn Delores Thompson, D.C.

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1427115880
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8368 Issued in FL
Practice address
4100 Edgewater Dr
Orlando, FL 32804-2205
Phone
(407) 293-8890
Fax
(407) 293-8891
NPI assigned
Jan 3, 2007
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8368 FL Primary
Registered Nurse 163W00000X 1757532 FL

Addresses

Primary practice location

4100 Edgewater Dr
Orlando, FL 32804-2205

Mailing address

4724 Doberman St
Orlando, FL 32818-8724
Phone (407) 295-9572

Other identifiers 1

IdentifierTypeStateIssuer
3816044 00MedicaidFL

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1757532FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marcia Nathan PastSince Nov 17, 2010 Accepting new patients

Organizations & group practices 2

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1427115880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 DOBERMAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328188724",
            "telephone_number": "407-295-9572",
            "fax_number": "407-295-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328042205",
            "telephone_number": "407-293-8890",
            "fax_number": "407-293-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROSLYN",
        "middle_name": "DELORES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8368",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "1757532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3816044  00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.