Individual provider Active NPI

Corinne Thompson, DVM

  • Veterinarian
  • Evergreen Park, IL
National Provider Identifier
1689030132
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
090008035 Issued in IL
Practice address
3811 W 95TH St
Lepar Animal Hospital
Evergreen Park, IL 60805-2017
Phone
(708) 423-3200
Fax
(708) 423-3484
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 090008035 IL Primary

Addresses

Primary practice location

3811 W 95TH St
Lepar Animal Hospital
Evergreen Park, IL 60805-2017

Mailing address

5405 Mount Dr
Schererville, IN 46375-3377
Phone (219) 322-6825

Other names 1

  • Dr. Corinne Fisher Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090008035ILMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1689030132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MOUNT DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753377",
            "telephone_number": "219-322-6825",
            "fax_number": "708-423-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W 95TH ST",
            "address_2": "LEPAR ANIMAL HOSPITAL",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052017",
            "telephone_number": "708-423-3200",
            "fax_number": "708-423-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CORINNE",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090008035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "FISHER",
            "prefix": "DR.",
            "credential": "DVM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.