Hazel Louise Thompson, ANP-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5001109 Issued in NC

Practice address

7108 Mount Holly Huntersville Rd
Charlotte, NC 28216-8720

Phone

(704) 589-2252

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hazel Louise Thompson-Zielke Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Paradigm Health Psychiatric SRV, LLC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1770533945
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1447234166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 MOUNT HOLLY HUNTERSVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168720",
            "telephone_number": "704-589-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 MOUNT HOLLY HUNTERSVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168720",
            "telephone_number": "704-589-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HAZEL",
        "middle_name": "LOUISE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "0050-01109",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "5001109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447234166",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAZEL",
            "last_name": "THOMPSON-ZIELKE",
            "middle_name": "LOUISE",
            "credential": "ANP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Desirea' La Shay Thompson, NP
• Donovan Thompson, MD
• Eric Bennett Thompson, M.D.
• Ervin M. Thompson, MD
• Frank Thompson, LCMHC
• Heather Thompson, RN
• Ivey Denice Thompson, FNP
• Jaime Leigh Thompson, CNM
• Jalisea Thompson
• Janice Elizabeth Thompson, MED

• All providers in Charlotte, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; 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.

Verify at the official NPI Registry.