NPIMap

Individual provider Active NPI

Becky Ann Thompson, MD

  • Family Medicine Physician
  • Show Low, AZ
National Provider Identifier
1740250067
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27560 Issued in AZ
Practice address
2051 Evergreen LN
Suite D
Show Low, AZ 85901-7928
Phone
(928) 537-2200
Fax
(928) 537-2204
NPI assigned
Jan 26, 2006
Last updated
Nov 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27560 AZ Primary

Addresses

Primary practice location

2051 Evergreen LN
Suite D
Show Low, AZ 85901-7928

Mailing address

2051 Evergreen LN
Suite D
Show Low, AZ 85901-7928
Phone (928) 537-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511000246 AZ Practitioner - Family Practice 3375532013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Family Practice Team PCGroup PAC ID 5395734032, 4 clinicians

Practice addresses (Care Compare)

2051 Evergreen LN
Suite D
Show Low, AZ 85901-7928
Phone (928) 537-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Practice Team PC Family Medicine CurrentSince Nov 1, 2003 Accepting new patients
Scott Hanson Pac Past Accepting new patients
Summit Healthcare Association Past Accepting new patients
Pinetop Medical Associates LTD Family Medicine Past Accepting new patients

Locations

2051 Evergreen Ln
Ste D
Show Low, AZ 85901
Phone (800) 300-3027

Interoperability endpoints

  • Direct secure messaging: becky.thompson.1@16163.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16163/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Summit Healthcare Regional Medical CenterShow Low, AZ, CCN 030062 Hospital Corporate Director Sep 2, 2010
Summit Healthcare Regional Medical CenterShow Low, AZ, CCN 03S062 Hospital Corporate Director Dec 1, 2019
Summit Healthcare AssociationShow Low, AZ, CCN 037027 Home health agency Corporate Director (100%) Apr 20, 2012
Summit Healthcare Family Medicine at Bison RanchOvergaard, AZ, CCN 033840 Rural health clinic Corporate Director Sep 2, 2010
Summit Healthcare Family Medicine St JohnsSaint Johns, AZ, CCN 033854 Rural health clinic Corporate Director Sep 2, 2010
Summit Healthcare Snowflake Medical CenterSnowflake, AZ, CCN 033853 Rural health clinic Corporate Director Sep 2, 2010
Summit Healthcare Family Medicine Snowflake TaylorSnowflake, AZ, CCN 033852 Rural health clinic Corporate Director Sep 2, 2010

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 4

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1740250067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 EVERGREEN LN",
            "address_2": "SUITE D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017928",
            "telephone_number": "928-537-2200",
            "fax_number": "928-537-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 EVERGREEN LN",
            "address_2": "SUITE D",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017928",
            "telephone_number": "928-537-2200",
            "fax_number": "928-537-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BECKY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.