Active NPI
Elicia Nicole Thompson, D.D.S.
- General Practice Dentistry
- Luling, LA
National Provider Identifier
1659482610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5858
- Practice address
- 843 Milling Ave
Luling, LA 70070-4442 - Phone
- (985) 785-5800
- Fax
- (985) 785-5811
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5858 | LA | Primary |
Addresses
Primary practice location
843 Milling Ave
Luling, LA 70070-4442
Mailing address
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Other practice location 1
32 Malletts Bay Ave Ste B
Winooski, VT 05404-1960
Phone (802) 655-4422
Other practice location 2
617 Riverside Ave
Burlington, VT 05401-1601
Phone (802) 864-6309
Other practice location 3
52 Community Ln
South Hero, VT 05486-4418
Phone (802) 372-5132
Other practice location 4
789 Pine St
Burlington, VT 05401-4924
Phone (802) 864-0693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1858587 | Medicaid | LA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5858 | LA | MD | Speech-Language Pathologist |
Interoperability endpoints
- elicia.thompson.p1@direct.chcb.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1659482610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 RIVERSIDE AVE",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054011601",
"telephone_number": "802-864-6309",
"fax_number": "802-652-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 MILLING AVE",
"city": "LULING",
"state": "LA",
"postal_code": "700704442",
"telephone_number": "985-785-5800",
"fax_number": "985-785-5811"
}
],
"practiceLocations": [
{
"address_1": "32 Malletts Bay Ave Ste B",
"address_purpose": "LOCATION",
"city": "Winooski",
"state": "VT",
"postal_code": "054041960",
"country_code": "US",
"telephone_number": "802-655-4422",
"fax_number": "802-652-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "617 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011601",
"country_code": "US",
"telephone_number": "802-864-6309",
"fax_number": "802-652-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Community Ln",
"address_purpose": "LOCATION",
"city": "South Hero",
"state": "VT",
"postal_code": "054864418",
"country_code": "US",
"telephone_number": "802-372-5132",
"fax_number": "802-652-1056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "789 Pine St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054014924",
"country_code": "US",
"telephone_number": "802-864-0693",
"fax_number": "802-652-1056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELICIA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "5858",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1858587",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Luling, LA
- Victoria Termine
- The Center for Family and Youth Services Inc (Creative Family Solutions)
- The Official Resource Headquarters, LLC
- Stacey Sackett Thibodeaux
- John Tu Thien, M.D.
- Heather Thompson, PMHNP-DNP
- Stephanie Jean Thompson, PHARM. D
- Thrift Village Drugs
- Brittany Toon
- Total Renal Care Inc (River Bend Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.