Individual provider Active NPI

Andrea Lamendola Thompson, AUD.,CCC-A

  • Audiologist
  • Mobile, AL
National Provider Identifier
1548460116
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AL 970-A Issued in AL
Practice address
610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622
Phone
(251) 633-2667
Fax
(251) 633-2179
NPI assigned
Jul 23, 2007
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AL 970-A AL
Audiologist 231H00000X AL 970-A AL Primary

Addresses

Primary practice location

610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622

Mailing address

610 Providence Park Dr E
BLDG. 2 Suite 202
Mobile, AL 36695-4622
Phone (251) 633-2667

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL 970-AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic PA Past Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1548460116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E",
            "address_2": "BLDG. 2 SUITE 202",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954622",
            "telephone_number": "251-633-2667",
            "fax_number": "251-633-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E",
            "address_2": "BLDG. 2 SUITE 202",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954622",
            "telephone_number": "251-633-2667",
            "fax_number": "251-633-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDREA",
        "middle_name": "LAMENDOLA",
        "name_prefix": "Mrs.",
        "credential": "AUD.,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "AL 970-A",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "AL 970-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.