Active NPI
Carla Brianne Thompson, PA-C
- Physician Assistant
- Litchfield Park, AZ
National Provider Identifier
1740241033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2882
- Practice address
- 14044 W Camelback Rd Ste 126
Litchfield Park, AZ 85340-9492 - Phone
- (623) 935-9600
- Fax
- (623) 935-9602
- NPI assigned
- Mar 28, 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 | 2882 | AZ | Primary |
Addresses
Primary practice location
14044 W Camelback Rd Ste 126
Litchfield Park, AZ 85340-9492
Mailing address
11313 W Alvarado Rd
Avondale, AZ 85392-5201
Phone (623) 433-9911
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 |
|---|---|---|---|
| 2882 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1740241033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11313 W ALVARADO RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925201",
"telephone_number": "623-433-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14044 W CAMELBACK RD STE 126",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853409492",
"telephone_number": "623-935-9600",
"fax_number": "623-935-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CARLA",
"middle_name": "BRIANNE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield Park, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.