Katherine G McMahon Thompson, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP008024 Issued in PA

Practice address

2100 Keystone Ave
Suite 400
Drexel Hill, PA 19026-1129

Phone

(610) 284-0200

NPI assigned

Jul 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Children'S Hospital of Philadelphia

  • Pediatrics Physician
  • Erdenheim, PA
  • NPI 1831262732
  NPD (past)

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217116800000",
    "number": "1578728754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-284-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 KEYSTONE AVE",
            "address_2": "SUITE 400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261129",
            "telephone_number": "610-284-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHERINE",
        "middle_name": "G MCMAHON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2008-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP008024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tender Loving Care at Home
• Dinesh S Tewari, DMD
• Nancy Thai, FNP-C
• Thomas a. Diliberto, D.O.
• Shannon Fitzpatrick Thomas, MA, LPC, NCC
• Three Aces LLC
• Thrift Drug Inc
• Ann Toland
• Jennifer Toof, LPC
• Township Line Dental LLC

• Pediatric Nurse Practitioner in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.