Active NPI
Elizabeth Sue Thompson
- Certified Respiratory Therapist
- Yantis, TX
National Provider Identifier
1487807566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 51264
- Practice address
- 229 Harris LN
Yantis, TX 75497-9730 - Phone
- (903) 383-2860
- Fax
- (903) 383-7975
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 51264 | TX | Primary |
Addresses
Primary practice location
229 Harris LN
Yantis, TX 75497-9730
Mailing address
229 Harris LN
Yantis, TX 75497-9730
Phone (903) 383-2860
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1991267-03 | Medicaid | TX | |
| 1991267-04 | Other | TX | CSN MEDICAID |
| P00733683 | Other | TX | RAILROAD MEDICARE PTAN |
| FTP017 | Other | TX | MEDICARE PTAN |
Other names 1
- Texas 02 Testing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51264 | TX | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1487807566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 HARRIS LN",
"city": "YANTIS",
"state": "TX",
"postal_code": "754979730",
"telephone_number": "903-383-2860",
"fax_number": "903-383-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 HARRIS LN",
"city": "YANTIS",
"state": "TX",
"postal_code": "754979730",
"telephone_number": "903-383-2860",
"fax_number": "903-383-7975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELIZABETH",
"middle_name": "SUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "TX",
"license": "51264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1991267-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSN MEDICAID",
"identifier": "1991267-04",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00733683",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FTP017",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TEXAS",
"last_name": "TESTING",
"middle_name": "02",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Yantis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.