Lawanda Thompson

Key facts

NPI

1639615339

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

Practice address

10 Honor Dr
Fort Mitchell, AL 36856-2802

Phone

(706) 289-2522

NPI assigned

Jan 18, 2017

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 29, 2024.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1639615339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HONOR DR",
            "city": "FORT MITCHELL",
            "state": "AL",
            "postal_code": "368562802",
            "telephone_number": "706-289-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HONOR DR",
            "city": "FORT MITCHELL",
            "state": "AL",
            "postal_code": "368562802",
            "telephone_number": "706-289-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LAWANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mitchell, AL

• Diane Allegra Parks, RN, BSN
• Michele Lin Pearce, APRN
• Tammy Polite
• Reuben Moyana DMD, PC
• Tyrekia Richard
• Truepath Living, LLC
• TSG Counseling LLC
• Judy Kay Tunnell, RN
• Anniecia Marlena Wilkins

All providers in Fort Mitchell, AL · Home Health Aide in Alabama