Active NPI
Clint Michael Thompson, DO
- Family Medicine Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP60774572
- Practice address
- 1001 W 2ND Ave
Spokane, WA 99201-4503 - Phone
- (509) 444-8200
- NPI assigned
- May 24, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP60774572 | WA | Primary |
Addresses
Primary practice location
1001 W 2ND Ave
Spokane, WA 99201-4503
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2059208 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP60774572 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Community Health Services | Current | Accepting new patients | |
| Lewis County Community Health Services | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Lewis County Community Health Services | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Family Medicine | Current | Accepting new patients |
Locations
2690 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 330-9595
930 N Broadway
Everett, WA 98201
Phone (425) 317-0300
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
611 N Iron Bridge Way
Spokane, WA 99202
15812 E Indiana Ave
Ste 200
Spokane Valley, WA 99216
Phone (509) 343-1116
100 Cedar Crest Dr
Winlock, WA 98596
Phone (360) 785-0300
Interoperability endpoints
- thompson.clint.p1@direct.valleyviewhc.nextgenshare.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Chehalis, WA
- NPI 1134164692
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1871704783
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
- Federally Qualified Health Center (FQHC)
- Onalaska, WA
- NPI 1659631141
-
- Federally Qualified Health Center (FQHC)
- Centralia, WA
- NPI 1811669658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1427405034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 2ND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992014503",
"telephone_number": "509-444-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CLINT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP60774572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2059208",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.