Active NPI
Myra L Thompson, F.N.P.
- Family Nurse Practitioner
- Pacific City, OR
National Provider Identifier
1710022835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 083030466N1
- Practice address
- 38505 Brooten Rd
Suite a
Pacific City, OR 97135 - Phone
- (541) 994-6523
- NPI assigned
- Feb 20, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 083030466N1 | OR | Primary |
Addresses
Primary practice location
38505 Brooten Rd
Suite a
Pacific City, OR 97135
Mailing address
38505 Brooten Rd
Suite a
Pacific City, OR 97135
Phone (541) 994-6523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129788 | Medicaid | OR |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert P. Thompson | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lincoln City, OR
- NPI 1871819573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1710022835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38505 BROOTEN RD",
"address_2": "SUITE A",
"city": "PACIFIC CITY",
"state": "OR",
"postal_code": "97135",
"telephone_number": "541-994-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38505 BROOTEN RD",
"address_2": "SUITE A",
"city": "PACIFIC CITY",
"state": "OR",
"postal_code": "97135",
"telephone_number": "541-994-6523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MYRA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "083030466N1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129788",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pacific City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.