Jacob John Thompson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

202004664RN Issued in OR

Practice address

3550 Liberty Rd S Ste 100
Salem, OR 97302-5700

Phone

(833) 368-2696

NPI assigned

Dec 4, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1477320117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 MOON MOUNTAIN DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974032281",
            "telephone_number": "605-639-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LIBERTY RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025700",
            "telephone_number": "833-368-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACOB",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202004664RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Pauline Thompson, RN
• Eddie M. Thompson, D.M.D.
• Eric Thompson
• Gretchen Lee Thompson, RN
• Hope C Thompson, LPN
• Jeffery Allen Thompson
• Jesse Thompson, M.A.
• Katharyne Kerry Thompson
• Kevin H Thompson, DO
• Maryconnor Tacy Thompson, WHNP

• Registered Nurse in Salem, OR
• Providers in Salem, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.