Emily Thompson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP132813 Issued in TX

Practice address

1305 W Magnolia Ave
Suite B
Ft Worth, TX 76104-4351

Phone

(817) 522-1530

Fax

(817) 523-8667

NPI assigned

Jan 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Physician Psych Services PLLC

  • Geriatric Psychiatry Physician
  • Hurst, TX
  • NPI 1811818511
  NPD (past)

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1699212100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044351",
            "telephone_number": "817-522-1530",
            "fax_number": "817-523-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044351",
            "telephone_number": "817-522-1530",
            "fax_number": "817-523-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP132813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia A. Thompson, LPC
• Dana Lauren Thompson, PHARMD
• Dionni Thompson, RD, LD
• Drew Ray Thompson, PA
• Edwina Kaye Thompson, LPC-S
• Jaiden Ashley Thompson
• Jalecia Thompson
• James Cameron Thompson, M.D.
• Jason L Thompson, DO
• Jazmine Thompson

• Gerontology Nurse Practitioner in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.