Individual provider Active NPI

Odonna Monique Thompes, NURSE

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1750405130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
276883 Issued in NY
Practice address
36 Rellim Blvd
Rochester, NY 14606-5628
Phone
(585) 254-6021
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 276883 NY Primary

Addresses

Primary practice location

36 Rellim Blvd
Rochester, NY 14606-5628

Mailing address

36 Rellim Blvd
Rochester, NY 14606-5628
Phone (585) 254-6021

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
276883NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750405130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RELLIM BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065628",
            "telephone_number": "585-254-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 RELLIM BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065628",
            "telephone_number": "585-254-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPES",
        "first_name": "ODONNA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.