Nicole Thompson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

280574 Issued in NY

Practice address

44 Overhill Rd
Rocky Point, NY 11778-9632

Phone

(631) 849-2686

NPI assigned

Oct 30, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Sex

Female

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": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1619156346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OVERHILL RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789632",
            "telephone_number": "631-849-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OVERHILL RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789632",
            "telephone_number": "631-849-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "280574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02656802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Casey E Tillman, DNP NURSE ANESTHESIA
• Patricia M Tingle, RN
• Tina N Titone, R.D.
• Brianne Torre
• Elena Tsaregorodtseva

• Licensed Practical Nurse in Rocky Point, NY
• Providers in Rocky Point, 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 Oct 30, 2007; 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.