Prarie Thompson, CPM
Individual provider Active NPI Midwife · Spartanburg, SC
NPI 1619652385 · NPPES record last updated Jun 20, 2023
Key facts
- NPI
- 1619652385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- LMW-0115 (SC)
- Practice address
- 850 Floyd Road Ext
Spartanburg, SC 29307-1048 - Phone
- (864) 285-0574
- Fax
- (864) 285-0583
- NPI assigned
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMW-0115 | SC | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LMW-0115 | SC | Yes |
Addresses
Primary practice location
850 Floyd Road Ext
Spartanburg, SC 29307-1048
Mailing address
850 Floyd Road Ext
Spartanburg, SC 29307-1048
Phone (864) 285-0574
Other providers in Spartanburg, SC
- Dara Elizabeth Thompson
- Diquasia Thompson
- Elizabeth Thompson
- Eun Jee C Thompson
- Joriah Thompson
- Sterling Washington Thompson
- Sydney Gregory Thompson
- Tanna Thompson
- Travis Thompson
- Vanessa Thompson
All providers in Spartanburg, SC · Midwife in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.