Connie Maria Thompson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

620191 Issued in NY

Practice address

9934 215TH St
Queens Village, NY 11429-1119

Phone

(718) 776-5420

NPI assigned

Oct 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1740514173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9934 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291119",
            "telephone_number": "718-776-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291119",
            "telephone_number": "718-776-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CONNIE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "620191",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "258262",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Puthenveettil Thomas
• Norene Thomas, REGISTERED NURSE RN
• Ryan C Thomas
• Marsha Amelia Thompson Bradnock
• Thompson-Adams, Inc.
• Nickole Thompson
• Stacey-Ann Yvette Thorpe, LPN
• Jan Y Ting, MD
• Molikutty Titus
• Siuchui To, RN

• Registered Nurse in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.