Kassidy Sheree Thompson, CLD (DV)

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

2100 Grayson Dr Apt 1912
Grapevine, TX 76051-7017

Phone

(940) 783-3402

NPI assigned

May 5, 2021

Last updated

May 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sage Abigail Thompson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1457934549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GRAYSON DR APT 1912",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517017",
            "telephone_number": "940-783-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GRAYSON DR APT 1912",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517017",
            "telephone_number": "940-783-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KASSIDY",
        "middle_name": "SHEREE",
        "credential": "CLD (DV)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAGE",
            "last_name": "THOMPSON",
            "middle_name": "ABIGAIL",
            "credential": "CLD (DV)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James Abraham Thomas, PHARM.D.
• Lija L Thomas, M.D.
• Sini Thomas
• Tiffany Thomas
• J. David Thompson, MD
• Katie Corbitt Thompson
• John L. Thorne, MD
• Three of a Kind, LLC (Choice Homecare)
• Tidc-Grapevine, Inc (Texas Imaging & Diagnostic Center)
• Raymond A Till, P.T.

• Doula in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.