Individual provider Active NPI

Lavonte Danielle Thompson, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1689183410
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23226 Issued in TN
Practice address
3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone
(901) 515-4800
Fax
(901) 458-0388
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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 23226 TN Primary

Addresses

Primary practice location

3109 Walnut Grove Rd
Memphis, TN 38111-3509

Mailing address

PO Box 795
Arlington, TN 38002-0795
Phone (901) 832-6578

Other practice location 1

10042 Pleasant Ridge Rd
Arlington, TN 38002-9636
Phone (901) 832-6578

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180803002004 TN Practitioner - Nurse Practitioner 4587912787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 458-0162

Hospital & facility affiliations

  • Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23226TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Nov 1, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Nov 1, 2022 Accepting new patients
Community Transition Nurse Care Manager, LLC CurrentSince Oct 7, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16914/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20901/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1689183410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380020795",
            "telephone_number": "901-832-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 WALNUT GROVE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381113509",
            "telephone_number": "901-515-4800",
            "fax_number": "901-458-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10042 Pleasant Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TN",
            "postal_code": "380029636",
            "country_code": "US",
            "telephone_number": "901-832-6578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LAVONTE",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.