Kim C Thome-Hough, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

131809 Issued in WI

Practice address

515 22ND Ave
Monroe, WI 53566-1569

Phone

(608) 324-2854

Fax

(608) 324-2021

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639130545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2854",
            "fax_number": "608-324-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-2854",
            "fax_number": "608-324-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOME-HOUGH",
        "first_name": "KIM",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "131809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41274400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Monroe Clinic, Inc. (SSM Health Monroe Pharmacy)
• The Monroe Clinic, Inc. (SSM Health Monroe Clinic Nursing Home Phcy)
• The Monroe Clinic, Inc.
• The Monroe Medical Foundation for Research and Education, Inc
• Kelly Thomas
• Angelica G Thompson, N.P.
• Mark J Thompson, MD
• Thomas J Thompson, D.C.
• Hunter James Tierman, CRC, LPC-IT
• Chau Minh Tran, DO, MPH

• Nurse Practitioner in Monroe, WI
• Providers in Monroe, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.