Individual provider Active NPI

Gabrielle Thompson, FNP-C

  • Family Nurse Practitioner
  • Laguna Beach, CA
National Provider Identifier
1750931606
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013640 Issued in CA
Practice address
1968 S Coast Hwy # 634
Laguna Beach, CA 92651-3681
Phone
(619) 547-1856
Fax
(833) 471-4981
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95161057 CA
Family Nurse Practitioner 363LF0000X MT5811371 CA
Family Nurse Practitioner 363LF0000X 95013640 CA Primary

Addresses

Primary practice location

1968 S Coast Hwy # 634
Laguna Beach, CA 92651-3681

Mailing address

1968 S Coast Hwy # 634
Laguna Beach, CA 92651-3681
Phone (610) 245-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214000736 CA Practitioner - Nurse Practitioner 3577999325 Practice locations: North Hollywood, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

North Hollywood, CA 91606
Phone (619) 547-1856

1968 S Coast Hwy
Laguna Beach, CA 92651-3681
Phone (619) 639-8879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95161057CAMDRegistered Nurse
MT5811371CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GT Healthcare Current Accepting new patients
TML Behavioral Health Group LLC CurrentSince Apr 21, 2024 Accepting new patients
Gabrielle Thompson LLC PastSince Aug 1, 2021 Accepting new patients
Gabrielle Thompson Wy LLC PastSince May 10, 2022 Accepting new patients

Locations

1968 S Coast Hwy
Laguna Beach, CA 92651
Phone (619) 547-1856

21125 Centre Pointe Pkwy
Santa Clarita, CA 91350
Phone (554) 353-8018

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gabrielle.thompson.p1@direct.gthealthcare.nextgenshare.com
  • Direct secure messaging: gabrielle.thompson.1@28201.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1750931606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 634",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "610-245-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 S COAST HWY # 634",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513681",
            "telephone_number": "619-547-1856",
            "fax_number": "833-471-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GABRIELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95161057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "MT5811371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.