Rebecca Ann Thompson, WHNP-BC, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R670446 Issued in MS

Practice address

400 Rebel Drive
University, MS 38677

Phone

(662) 915-7274

Fax

(662) 915-5292

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

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.

• Thompson Medical Service, LLC

  • General Practice Physician
  • Blue Mountain, MS
  • NPI 1770050908

  MS

  Medicare reassignment NPD Authorized official
• Tippah County Hospital

  • Primary Care Clinic/Center
  • Ripley, MS
  • NPI 1215710967

  MS

  Medicare reassignment NPD
• Tippah County Hospital

  • Critical Access Hospital
  • Ripley, MS
  • NPI 1730578600

  MS

  Medicare reassignment NPD
• Tippah County Hospital

  • Family Medicine Physician
  • Walnut, MS
  • NPI 1124823521
  NPD
• Tippah County Hospital

  • General Acute Care Hospital
  • Ripley, MS
  • NPI 1306882246
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1598045833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REBEL DRIVE",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "38677",
            "telephone_number": "662-915-7274",
            "fax_number": "662-915-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 REBEL DRIVE",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "38677",
            "telephone_number": "662-915-7274",
            "fax_number": "662-915-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R670446",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "APN15987",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R670446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02029506",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Stewart
• Jasmine Suggs
• Kathleen E Sullivan
• Rebecca E Taylor, PHARMD
• Tapanga Taylor
• Ansley Thurmond
• Nicole Turner, MD, MPH
• Univ. of Miss. Student Health Service
• University Mississippi Nutrition Clinic
• University of Mississippi

• All providers in University, MS
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.