Jacqueline Anne Thompson, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

883567 Issued in CA

Practice address

85 Neilson St
Suite 201
Watsonville, CA 95076-2485

Phone

(831) 763-6445

Fax

(831) 724-0877

NPI assigned

Jan 5, 2007

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Female

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

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

My Diabetes Tutor IncGroup PAC ID 1850712159, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19753/brand/1/csg/1/fhir/r4

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.

• My Diabetes Tutor Inc

  • Clinic/Center
  • Hanford, CA
  • NPI 1528601218

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Pajaro Valley Community Health Trust

  • Community Health Clinic/Center
  • Watsonville, CA
  • NPI 1134388093
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1497802987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 CONCORD CT",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939334003",
            "telephone_number": "831-277-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NEILSON ST",
            "address_2": "SUITE 201",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762485",
            "telephone_number": "831-763-6445",
            "fax_number": "831-724-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "883567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiana Taylor
• Tele-Rheumatology Medical Associates (Rheum Without Walls)
• Jocelyn Tellez
• Bertha Maria Tenorio
• Jonathan Tepper, M.D., PH.D.
• Elizabeth Thorne, RN
• Tip Top Shape Wellness Fitness and Physical Therapy Foundation Inc
• Joshua Daniel Toback, M.A.
• Marilyn Todd
• Bosiljka Nadia Tokic-Polak, MA, MFT

• Registered Dietitian in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.

Verify at the official NPI Registry.