Cailey Brooke Thompson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

215783 Issued in OK

Practice address

3301 Broadway St
Quincy, IL 62301-3713

Phone

(217) 277-4090

NPI assigned

Mar 7, 2022

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Cailey Mobbs Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• St Anthony Shawnee Hospital Inc

  dba St Anthony Shawnee Hospital

  • Surgery Physician
  • Shawnee, OK
  • NPI 1619260411
  Medicare reassignment NPD
• St. Anthony Shawnee Hospital, Inc.

  dba SSM Health Pharmacy

  • Community/Retail Pharmacy
  • Shawnee, OK
  • NPI 1912739020
  NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1609523984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 ROYAL DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347346",
            "telephone_number": "501-908-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013713",
            "telephone_number": "217-277-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Royal Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347346",
            "country_code": "US",
            "telephone_number": "501-908-6554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAILEY",
        "middle_name": "BROOKE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "215783",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209025680",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAILEY",
            "last_name": "MOBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Isabel Thirston, M.D.
• Jaclyn Marie Thobaben, PA-C
• Shannon Thoele, MD
• Thomas R Westerhoff M.D P.C.
• Robert Thomas, DO
• Clayton Dean Thompson, CRNA
• David Alva Thompson, CRNA
• Kristin Elizabeth-Daniel Thompson, DPT
• Melinda Thompson, RN
• Katherine Thomure, LCSW

• Certified Registered Nurse Anesthetist in Quincy, IL
• Providers in Quincy, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.