Shaneqa Jordan Thompson, L.P.N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN082534 Issued in GA

Practice address

7005 Glen Valley Way
Fairburn, GA 30213-4278

Phone

(313) 808-3314

NPI assigned

Oct 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1467761692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 GLEN VALLEY WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134278",
            "telephone_number": "313-808-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 GLEN VALLEY WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134278",
            "telephone_number": "313-808-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHANEQA",
        "middle_name": "JORDAN",
        "name_prefix": "Ms.",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN082534",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN115400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy Culture LLC
• Shonta Thomas
• Theresa A. Thomas
• Shanise Thomasson
• Maurice Thompson
• Perry Thornton Jr., D.C.
• Kenosha Latrice Tillman, NURSE PRACTITIONER
• Tina Maids of Atlanta
• Shuntrevia Monique Todd
• Phuong Tran, PHARMD

• Licensed Practical Nurse in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.