Kelly Thompson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22006158A Issued in IN

Practice address

1400 Hulman St
Terre Haute, IN 47802-2536

Phone

(812) 232-6305

Fax

(812) 234-3683

NPI assigned

Aug 11, 2023

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Reach Services, Inc.

  • Developmental Disabilities Clinic/Center
  • Terre Haute, IN
  • NPI 1467812370
  NPD
• Reach Services

  • Developmental Disabilities Clinic/Center
  • Terre Haute, IN
  • NPI 1205782018
  NPD (past)

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1487337804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HULMAN ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478022536",
            "telephone_number": "812-232-6305",
            "fax_number": "812-234-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HULMAN ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478022536",
            "telephone_number": "812-232-6305",
            "fax_number": "812-234-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006158A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Katherine Thomas
• Jennifer Thompson, PTA
• Jessica Thompson
• John G Thompson, PH.D.
• Kaylee Annette Thompson
• Kristina Dianne Thompson, D.O.
• Lillian Paige Thompson, B.S.
• Micah Elizabeth Thompson, MD
• Sandra Thompson, RN
• Courtney Elizabeth Thomson, NP

• All providers in Terre Haute, IN
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.