Individual provider Active NPI

Deborah Marie Moore-Thompson

  • Home Health Registered Nurse
  • Chicago, IL
National Provider Identifier
1457975245
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
041276907 Issued in IL
Practice address
9413 S Throop St
Chicago, IL 60620-3625
Phone
(773) 612-6855
Fax
(773) 612-6855
NPI assigned
Jun 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 041276907 IL Primary

Addresses

Primary practice location

9413 S Throop St
Chicago, IL 60620-3625

Mailing address

9413 S Throop St
Chicago, IL 60620-3625
Phone (773) 612-6855

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
041276907ILMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1457975245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9413 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-612-6855",
            "fax_number": "773-612-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-612-6855",
            "fax_number": "773-612-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-THOMPSON",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041276907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.