Individual provider Active NPI

Destiny Diane Youry Thompson, SA-C

  • Surgical Assistant
  • Kingwood, TX
National Provider Identifier
1639006083
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
26-176 Issued in TX
Practice address
2906 Birch Creek Dr
Kingwood, TX 77339-1311
Phone
(281) 348-5508
NPI assigned
May 7, 2026
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 134730 TX
Surgical Assistant 246ZC0007X 26-176 TX Primary

Addresses

Primary practice location

2906 Birch Creek Dr
Kingwood, TX 77339-1311

Mailing address

2906 Birch Creek Dr
Kingwood, TX 77339-1311
Phone (281) 348-5508

Other names 1

  • Destiny Rafael Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26-176TXMDSurgical Assistant
134730TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Destiny Global Assist, LLC Surgical Assistant Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1639006083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 BIRCH CREEK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391311",
            "telephone_number": "281-348-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 BIRCH CREEK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391311",
            "telephone_number": "281-348-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DESTINY",
        "middle_name": "DIANE YOURY",
        "credential": "SA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "134730",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "26-176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESTINY",
            "last_name": "RAFAEL",
            "credential": "SA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.