Individual provider Active NPI

Amy Elizabeth Thompson, NP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1629252812
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-077597 Issued in AL
Practice address
50 S B B King Blvd
Memphis, TN 38103-2626
Phone
(251) 325-9430
NPI assigned
Dec 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-077597 AL Primary

Addresses

Primary practice location

50 S B B King Blvd
Memphis, TN 38103-2626

Mailing address

205 Confederate Dr N
Spanish Fort, AL 36527-3061
Phone (251) 232-0001

Other practice location 1

420 20th St N Ste 2200
Birmingham, AL 35203-3261
Phone (866) 949-0108

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9363564OtherFLFL NP LIC
RN9363564OtherFLFL RN LICENSE

Other names 1

  • Amy Elizabeth Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20250617001141 AL Order and Referring Only - Nurse Practitioner 8921240052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-077597ALMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_athomp50@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1629252812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CONFEDERATE DR N",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365273061",
            "telephone_number": "251-232-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "251-325-9430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 20th St N Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352033261",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "251-602-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-077597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL NP LIC",
            "identifier": "ARNP9363564",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9363564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "NELSON",
            "middle_name": "ELIZABETH",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.