Individual provider Active NPI

Heidi Michelle Thompson, CNP

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1659888907
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022036 Issued in OH
Practice address
2355 Derr Rd
Springfield, OH 45503-2439
Phone
(937) 629-0100
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022036 OH Primary

Addresses

Primary practice location

2355 Derr Rd
Springfield, OH 45503-2439

Mailing address

3217 Uplands Dr
Springfield, OH 45506-4038
Phone (937) 926-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Challa Ajit, M.D. LLC CurrentSince Apr 1, 2018 Accepting new patients
Gcga Physicians Inc. Past Accepting new patients

Locations

2355 Derr Rd
Ste A
Springfield, OH 45503
Phone (937) 629-0100

2355 Derr Rd
Springfield, OH 45503
Phone (937) 398-1966

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1659888907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 UPLANDS DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455064038",
            "telephone_number": "937-926-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DERR RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032439",
            "telephone_number": "937-629-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HEIDI",
        "middle_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.