Roger Thompson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

200392920A Issued in KS

Practice address

115 S 18TH St
Parsons, KS 67357-3365

Phone

(620) 421-2014

Fax

(620) 421-2941

NPI assigned

Oct 11, 2013

Last updated

Oct 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Successful Dreams Support Services

  • Personal Care Attendant
  • Parsons, KS
  • NPI 1548934003

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1508293390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673570721",
            "telephone_number": "620-421-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 18TH ST",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673573365",
            "telephone_number": "620-421-2014",
            "fax_number": "620-421-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": "200392920A",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "200392920A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200392920A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penny L Suddock
• Jane Allison Swezey, APRN
• Sarohd Tang, OB GYN
• The Care Center for Change
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan - Parsons)
• Stephanie M Thompson, WHNP-BC
• Jonathan M Tower, RMA
• Tullis Custom Chiropractic & Holistic Health LLC
• Audrey Elizabeth Tullis, D.C.
• Turnbull Enterprises Incorperated (home medical services)

• Community/Behavioral Health Agency in Parsons, KS
• Providers in Parsons, KS by specialty
• Community/Behavioral Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.