NPIMap

Individual provider Active NPI

Deann Lois Thompson

  • Nurse Practitioner
  • Ava, MO
National Provider Identifier
1508039769
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
149792 Issued in MO
Practice address
120 South West 2ND Avenue
Ava, MO 65608
Phone
(417) 683-6790
Fax
(417) 683-6770
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 149792 MO Primary

Addresses

Primary practice location

120 South West 2ND Avenue
Ava, MO 65608

Mailing address

HC 71 Box 209
Ava, MO 65608-8910
Phone (417) 683-9268

Other names 1

  • Deann Lois Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140313001826 MO Practitioner - Nurse Practitioner 3274797832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansfield Clinic IncGroup PAC ID 3971413360, 8 clinicians

Practice addresses (Care Compare)

304 W Commercial St
Mansfield, MO 65704-9527
Phone (417) 924-3066

PO Box
Suite 865
Ava, MO 65608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Walk in Clinic of Mountain Grove Inc PastSince May 7, 2012 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1508039769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 71 BOX 209",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656088910",
            "telephone_number": "417-683-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH WEST 2ND AVENUE",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-6790",
            "fax_number": "417-683-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DEANN",
        "middle_name": "LOIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "149792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANN",
            "last_name": "RICHARDS",
            "middle_name": "LOIS",
            "credential": "NPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ava, MO

Sources for this page

Verify at the official NPI Registry.