Active NPI
Natalee Paige Thompson, PA
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1700983897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0003036
- Practice address
- 10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004 - Phone
- (042) 239-3321
- Fax
- (904) 223-2169
- NPI assigned
- Sep 20, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0003036 | FL | Primary |
Addresses
Primary practice location
10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Mailing address
10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970007102 | Other | RAILROAD MEDICARE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0003036 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Spine Center PA | Past | Accepting new patients | |
| Emergency Medical Specialists of Jacksonville | Past | Accepting new patients | |
| Georgia Spine & Pain Centers | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1295738367
-
- Pain Medicine (Anesthesiology) Physician
- Jacksonville, FL
- NPI 1881643757
-
- Interventional Pain Medicine Physician
- Waycross, GA
- NPI 1134769714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1700983897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10475 CENTURION PKWY N STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565004",
"telephone_number": "904-223-3321",
"fax_number": "904-223-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10475 CENTURION PKWY N STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322565004",
"telephone_number": "042-239-3321",
"fax_number": "904-223-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "NATALEE",
"middle_name": "PAIGE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA0003036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970007102",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.