Active NPI
Renee Odom Thompson
- Non-emergency Medical Transport (VAN)
- Wilson, NC
National Provider Identifier
1659014538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 5483476
- Practice address
- 2505 St. Christopher Circle SW
Apt a
Wilson, NC 27893-4459 - Phone
- (252) 382-0181
- Fax
- (252) 674-7032
- NPI assigned
- Apr 18, 2022
- Last updated
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 5483476 | NC | |
| Non-emergency Medical Transport (VAN) | 343900000X | 5483476 | NC | Primary |
Addresses
Primary practice location
2505 St. Christopher Circle SW
Apt a
Wilson, NC 27893-4459
Mailing address
2505 St. Christopher Circle SW
Apt a
Wilson, NC 27893-4459
Phone (252) 382-0181
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5483476 | NC | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1659014538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 ST. CHRISTOPHER CIRCLE SW",
"address_2": "APT A",
"city": "WILSON",
"state": "NC",
"postal_code": "278934459",
"telephone_number": "252-382-0181",
"fax_number": "252-674-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 ST. CHRISTOPHER CIRCLE SW",
"address_2": "APT A",
"city": "WILSON",
"state": "NC",
"postal_code": "278934459",
"telephone_number": "252-382-0181",
"fax_number": "252-674-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM THOMPSON",
"first_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "5483476",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NC",
"license": "5483476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
- North Carolina in-Home Partner-VII, LLC (Hospice of Wilson Medical Center)
- North Carolina in-Home Partner-VIII, LLC (Home Health of Wilson)
- North Carolina Physicians Eyecare Group, P.C.
- North Carolina School for the Deaf
- Jennifer Annschultheis O'Donoghue, PHD, LAT, ATC, CSCS
- Anayo Theodora Ogbonna
- Young-Mi Oh, D.D.S.
- Oliver Enterprise (progressive behavioral services)
- Omnicare of Carolina
- Once More, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.