Individual provider Active NPI

Lucia Sabine Thompson, D.C.

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1730272386
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C5469 Issued in ID
Practice address
2005 Ironwood Pkwy Ste 216
Coeur D Alene, ID 83814-2647
Phone
(208) 667-7514
NPI assigned
Oct 2, 2006
Last updated
Nov 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C5469 ID Primary

Addresses

Primary practice location

2005 Ironwood Pkwy Ste 216
Coeur D Alene, ID 83814-2647

Mailing address

2005 N Ironwood Pkwy Ste 216
Coeur D Alene, ID 83814-2647
Phone (208) 667-7514

Other identifiers 4

IdentifierTypeStateIssuer
C5469OtherIDBLUE CROSS INSURANCE
0104173OtherIDWA L & I
308694OtherIDBLUE SHEILD INSURANCE
990006083OtherIDRAIROAD MEDICARE INSURANC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000962 ID Practitioner - Chiropractic 7113186347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2005 N Ironwood Pkwy
Suite 216
Coeur D Alene, ID 83814-2647
Phone (208) 667-7514

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C5469IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North Idaho Chiropractic, PA Chiropractor CurrentSince Apr 15, 2012 Accepting new patients

Locations

1109 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 667-7514

2005 N Ironwood Pkwy
Ste 216
Coeur D Alene, ID 83814
Phone (208) 659-6459

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1730272386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N IRONWOOD PKWY STE 216",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-667-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 IRONWOOD PKWY STE 216",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142647",
            "telephone_number": "208-667-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LUCIA",
        "middle_name": "SABINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "C5469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INSURANCE",
            "identifier": "C5469",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L & I",
            "identifier": "0104173",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD INSURANCE",
            "identifier": "308694",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE INSURANC",
            "identifier": "990006083",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.