Brandon Thompson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

713261 Issued in NY

Practice address

470 Dekalb Ave
Brooklyn, NY 11205-4448

Phone

(585) 981-9613

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1548809957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054448",
            "telephone_number": "585-981-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "713261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298591",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Althea A Thompson, SPECIAL EDUCATOR
• Amy Lyn Thompson, DIPL OM, LAC.
• Andrea Althea Coleman Thompson, LMSW
• Annetta Thompson
• Arianna Thompson
• Brenda Joyce Thompson, LCSW-R
• Carmell Thompson
• Celetha Thompson, LPN
• Christiana Thompson
• Corinthia Thompson

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.