Individual provider Active NPI

Kelly Thompson, CNM FNP

  • Advanced Practice Midwife
  • Hendersonville, NC
National Provider Identifier
1467449876
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
113835 Issued in NC
Practice address
50 Hospital Dr
Suite 4a
Hendersonville, NC 28792-5248
Phone
(828) 650-8077
Fax
(828) 651-0194
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113835 NC
Advanced Practice Midwife 367A00000X 113835 NC Primary

Addresses

Primary practice location

50 Hospital Dr
Suite 4a
Hendersonville, NC 28792-5248

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other identifiers 2

IdentifierTypeStateIssuer
7002047MedicaidNC
15785OtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091015000702 NC Practitioner - Nurse Practitioner 2062459613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

50 Hospital Dr
4A
Hendersonville, NC 28792-5246
Phone (828) 650-8077

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
113835NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. CurrentSince Jun 7, 2009 Accepting new patients
Fletcher Hospital Inc CurrentSince Jun 7, 2009 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients

Locations

50 Hospital Dr
Ste 4A
Hendersonville, NC 28792
Phone (828) 650-8077

2583 Chimney Rock Rd
Hendersonville, NC 28792
Phone (828) 698-9934

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: kthompson659606@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1467449876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DR",
            "address_2": "SUITE 4A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925248",
            "telephone_number": "828-650-8077",
            "fax_number": "828-651-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "credential": "CNM FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "113835",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "113835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002047",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "15785",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.