Neila Susan Thompson, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

16383 Issued in TN

Practice address

207 Elk Ave S
Fayetteville, TN 37334-3051

Phone

(931) 433-2551

Fax

(931) 438-0069

NPI assigned

Jan 23, 2007

Last updated

Feb 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Theresa T Morrison MD PLLC

  • Family Medicine Physician
  • Fayetteville, TN
  • NPI 1043363492
  Medicare reassignment

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1669526026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-438-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-438-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NEILA SUSAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "3261",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-128900",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "16383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Brace and Medical Services LLC (Tennessee Brace and Medical Service)
• Tennessee in-Home Partner-III, LLC
• Tennessee Oncology PLLC
• Sarah Moon Thelen, MD
• Theresa T Morrison MD PLLC
• Andrea Askins Thorpe, M.D.
• Kristy Dawn Tolleson, LMT
• Top Flight Medical Group LLC
• Michael Shane Trahin, DC
• Tri-State Clinic of Chiropractic, PC

• Pediatric Nurse Practitioner in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.