Individual provider Active NPI

Heather Thompson, RN

  • Registered Nurse
  • Charlotte, NC
National Provider Identifier
1538718671
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
231494 Issued in NC
Practice address
5108 Reagan Dr Ste 9
Charlotte, NC 28206-1394
Phone
(704) 567-0790
Fax
(833) 834-2555
NPI assigned
Sep 11, 2019
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 231494 NC Primary

Addresses

Primary practice location

5108 Reagan Dr Ste 9
Charlotte, NC 28206-1394

Mailing address

2809 Loxdale Farms Dr
Monroe, NC 28110-7728
Phone (704) 618-6678

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.thompson@amarawellness.org

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
231494NCMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: heather.thompson@amarawellness.org

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1538718671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 LOXDALE FARMS DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281107728",
            "telephone_number": "704-618-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 REAGAN DR STE 9",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282061394",
            "telephone_number": "704-567-0790",
            "fax_number": "833-834-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEATHER",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "231494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.thompson@amarawellness.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5108 Reagan Dr Ste 9",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282061394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.