Active NPI
Nicole Michelle Thompson, NP
- Nurse Practitioner
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5024603
- Practice address
- 642 Carpenter Ave
Mooresville, NC 28115-2538 - Phone
- (980) 455-0550
- Fax
- (855) 308-2340
- NPI assigned
- Sep 18, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5024603 | NC | Primary |
Addresses
Primary practice location
642 Carpenter Ave
Mooresville, NC 28115-2538
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Florida Atlantic University, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 NW Federal Hwy
Stuart, FL 34994-1020
Phone (772) 888-1880
1400 NW US
Suite 1
Stuart, FL 34994-1020
Phone (772) 888-1880
642 Carpenter Ave
Mooresville, NC 28115-2538
Phone (828) 651-0450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2993372 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamond Family Medicine, PLLC | Current | Accepting new patients | |
| ENT and Allergy Associates of Florida, LLC | Current | Accepting new patients | |
| Associated Coastal Ear Nose & Throat Physicians PA | Current | Accepting new patients | |
| Independence Ear, Nose & Throat, LLC | Current | Accepting new patients | |
| Institute for Asthma and Allergy P.C. | Past | Accepting new patients |
Locations
900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267
6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267
4632 S 25th St
Fort Pierce, FL 34981
Phone (772) 464-9595
1400 NW US 1
Stuart, FL 34994
Phone (772) 888-1880
317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344
642 Carpenter Ave
Mooresville, NC 28115
Phone (704) 619-4835
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEFDCD
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1629037270
-
- Otolaryngology Physician
- Stuart, FL
- NPI 1063913713
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
- Otolaryngology Physician
- Fort Pierce, FL
- NPI 1134299753
-
- Allergy & Immunology Physician
- North Palm Beach, FL
- NPI 1447341110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1669668372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"city": "SYLVA",
"state": "NC",
"postal_code": "287790360",
"telephone_number": "888-339-6065",
"fax_number": "828-538-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "642 CARPENTER AVE",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281152538",
"telephone_number": "980-455-0550",
"fax_number": "855-308-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5024603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.