Active NPI
Kelsey Nicole Thompson, AUD
- Audiologist
- Holland, MI
National Provider Identifier
1497301345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 3100 N Wellness Dr
Holland, MI 49424-8122 - Phone
- (616) 994-2770
- NPI assigned
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
3100 N Wellness Dr
Holland, MI 49424-8122
Mailing address
3715 Kaylee LN
Hudsonville, MI 49426-8464
Phone (765) 993-8178
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.michiganentallergy.com/?gclid=EAIaIQobChMIsZWQ7quH5AIVDY_ICh3Nfw1tEAAYASAAEgI2lvD_BwE | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1833 N Kinser Pike
Bloomington, IN 47404-1914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- kthompson249724@epic00.shdirect.org
Organizations & group practices 1
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.
-
- Audiologist
- Bloomington, IN
- NPI 1740647825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1497301345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 KAYLEE LN",
"city": "HUDSONVILLE",
"state": "MI",
"postal_code": "494268464",
"telephone_number": "765-993-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N WELLNESS DR",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494248122",
"telephone_number": "616-994-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KELSEY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.michiganentallergy.com/?gclid=EAIaIQobChMIsZWQ7quH5AIVDY_ICh3Nfw1tEAAYASAAEgI2lvD_BwE",
"affiliation": "N",
"endpointDescription": "Business website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "3100 N Wellness Dr",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494248122",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.