Individual provider Active NPI

Nicole Anne Thompson, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1700069192
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2916 Issued in AZ
Practice address
3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902
Phone
(602) 384-3328
NPI assigned
Dec 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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 AP2916 AZ Primary

Addresses

Primary practice location

3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902

Mailing address

4740 S Platinum CT
Chandler, AZ 85248-5203
Phone (602) 384-3328

Other identifiers 1

IdentifierTypeStateIssuer
294834MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080226000084 AZ Practitioner - Nurse Practitioner 7810071198 Reassigns benefits to 2 organizations
I20250127000546 FL Practitioner - Nurse Practitioner 7810071198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series I CurrentSince Dec 19, 2024 Accepting new patients
Global Physician Network LLC Series II CurrentSince Dec 19, 2024 Accepting new patients
Einfectionmd PC CurrentSince Dec 5, 2023 Accepting new patients
Empower St Josephs PLLC CurrentSince Dec 27, 2023 Accepting new patients
Sun City Urgent Care LLC Past Accepting new patients
Dana Landing Urgent Care LLC Past Accepting new patients
Glendale Urgent Care LLC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients
Greenway Urgent Care LLC Past Accepting new patients
Avondale Urgent Care LLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients
Shea Urgent Care LLC Past Accepting new patients
Desert Ridge Urgent Care LLC Past Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

14818 N 74th St
Scottsdale, AZ 85260
Phone (480) 339-5088

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1700069192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 S PLATINUM CT",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485203",
            "telephone_number": "602-384-3328",
            "fax_number": "480-584-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "SUITE 800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-384-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294834",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.