Miriam Thompson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN061603 Issued in GA

Practice address

5353 Bridgewater Trce
Stone Mountain, GA 30088-3345

Phone

(770) 873-3185

Fax

(404) 577-1025

NPI assigned

Apr 29, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1649614017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 BRIDGEWATER TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883345",
            "telephone_number": "770-873-3185",
            "fax_number": "404-577-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 BRIDGEWATER TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883345",
            "telephone_number": "770-873-3185",
            "fax_number": "404-577-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MIRIAM",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN061603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyntheress N Thomas, ICS, HHA
• Edmund Thomas Jr.
• Samirah Thomas
• Sonya Thomas, RN, LCSW
• Keith P Thompson, MD
• Samelhia Marie Thompson, LPC
• Stephen Lewis Thompson, CSA
• Tina-Ann Kerr Thompson, M.D.
• Sheme Thorns
• Dian Thornton-Sheffield, NP

• Licensed Practical Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.