Active NPI
Deborah Lynne Thompson, FNP-BC
- Family Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1619335205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9369721
- Practice address
- 20423 State Road 7 Ste 28
Boca Raton, FL 33498-6797 - Phone
- (561) 617-4650
- Fax
- (351) 200-0476
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9369721 | FL | Primary |
Addresses
Primary practice location
20423 State Road 7 Ste 28
Boca Raton, FL 33498-6797
Mailing address
21516 Halstead Dr
Boca Raton, FL 33428-4843
Phone (630) 750-4317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20423 State Rd
7 Suite F10
Boca Raton, FL 33498-6774
Phone (630) 750-4317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9369721 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolutionary Care Clinic LLC | Current | Accepting new patients |
Locations
1690 S Congress Ave
Ste 205B
Delray Beach, FL 33445
Phone (561) 459-7300
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Boca Raton, FL
- NPI 1609644459
-
- Family Medicine Physician
- Delray Beach, FL
- NPI 1457088437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1619335205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21516 HALSTEAD DR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334284843",
"telephone_number": "630-750-4317",
"fax_number": "351-200-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20423 STATE ROAD 7 STE 28",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334986797",
"telephone_number": "561-617-4650",
"fax_number": "351-200-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DEBORAH",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9369721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.