Individual provider Active NPI

Delores Thompson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middleburg, FL
National Provider Identifier
1477014587
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11010127 Issued in FL
Practice address
400 College Dr Ste 200
Middleburg, FL 32068-8525
Phone
(904) 213-2700
NPI assigned
Mar 29, 2019
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010127 FL Primary
Registered Nurse 163W00000X RN9312665 FL

Addresses

Primary practice location

400 College Dr Ste 200
Middleburg, FL 32068-8525

Mailing address

400 College Dr Ste 200
Middleburg, FL 32068-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NE, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240501002954 FL Practitioner - Nurse Practitioner 0042650574 Reassigns benefits to 1 organization
I20260406001265 NE Practitioner - Nurse Practitioner 0042650574 Reassigns benefits to 1 organization
I20260406001361 IA Practitioner - Nurse Practitioner 0042650574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Encounter Telehealth IncGroup PAC ID 9931348307, 20 clinicians

Practice addresses (Care Compare)

1035 Lincoln Rd
Suite 209
Bettendorf, IA 52722-4149
Phone (844) 485-3041

309 W 7TH St
MC Cook, NE 69001-3507
Phone (844) 485-3041

9396 Pouder LN
Navarre, FL 32566-2566
Phone (844) 485-3041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9312665FLMDRegistered Nurse
APRN11010127FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carter's Counseling Services, PLC CurrentSince Mar 31, 2026 Accepting new patients
Encounter Telehealth, Inc Psychiatric/Mental Health CurrentSince Mar 5, 2024 Accepting new patients

Locations

1035 Lincoln Rd
Ste 209
Bettendorf, IA 52722
Phone (563) 570-7699

309 W 7th St
McCook, NE 69001
Phone (308) 345-4600

900 S 74th Plz
Ste 300
Omaha, NE 68114
Phone (402) 509-7544

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1477014587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLLEGE DR STE 200",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLLEGE DR STE 200",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688525",
            "telephone_number": "904-213-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DELORES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010127",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9312665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.