Active NPI
Jennifer Mariko Thompson, MD
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1629565999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME150409
- Practice address
- 4321 N Macdill Ave Ste 407
Tampa, FL 33607-6396 - Phone
- (813) 217-9384
- Fax
- (813) 443-8167
- NPI assigned
- Apr 22, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME150409 | FL | Primary |
Addresses
Primary practice location
4321 N Macdill Ave Ste 407
Tampa, FL 33607-6396
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 532-0002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.thompsonmd.direct@baycare.org | Health Information Exchange (HIE) |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Florida International Univ, College of Medicine
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2995 Drew St
FL 2
Clearwater, FL 33759-3012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME150409 | FL | MD | Pediatric Adolescent Medicine Physician |
Organizations & group practices 1
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.
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1629565999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-532-0002",
"fax_number": "813-635-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 N MACDILL AVE STE 407",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076396",
"telephone_number": "813-217-9384",
"fax_number": "813-443-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"middle_name": "MARIKO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-22",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME150409",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.thompsonmd.direct@baycare.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4321 N Macdill Ave Ste 407",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336076396",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.