Active NPI
Edna J. Thompson, CNP
- Obstetrics & Gynecology Nurse Practitioner
- Monroe, LA
National Provider Identifier
1700925559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN038555
- Practice address
- 4864 Jackson St
Monroe, LA 71202-6400 - Phone
- (318) 330-7652
- Fax
- (318) 330-7648
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN038555 | LA | Primary |
Addresses
Primary practice location
4864 Jackson St
Monroe, LA 71202-6400
Mailing address
4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1554103 | Medicaid | LA |
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN038555 | LA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1700925559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7626",
"fax_number": "318-330-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4864 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712026400",
"telephone_number": "318-330-7652",
"fax_number": "318-330-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "EDNA",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "LA",
"license": "RN038555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1554103",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.