Active NPI
Deanna H. Thompson, RD, LD
- Registered Dietitian
- Mountain Grove, MO
National Provider Identifier
1679745061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2001004241
- Practice address
- 120 W 16TH St
Mountain Grove, MO 65711-1039 - Phone
- (417) 926-6111
- Fax
- (417) 926-6115
- NPI assigned
- Mar 26, 2008
- Last updated
- Mar 26, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2001004241 | MO | Primary |
Addresses
Primary practice location
120 W 16TH St
Mountain Grove, MO 65711-1039
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1679745061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658012580",
"telephone_number": "417-829-4620",
"fax_number": "417-829-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W 16TH ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111039",
"telephone_number": "417-926-6111",
"fax_number": "417-926-6115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DEANNA",
"middle_name": "H.",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "2001004241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.