Jillian Marie Thompson, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

964-039 Issued in WI

Practice address

4410 Tokay Blvd
Madison, WI 53711-1437

Phone

(608) 513-5106

NPI assigned

Aug 30, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220054400000",
    "number": "1760630933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 TOKAY BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111437",
            "telephone_number": "608-513-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 TOKAY BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111437",
            "telephone_number": "608-513-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-30",
        "last_updated": "2008-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "964-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton David Thompson, MD
• Derek James Thompson
• Drew Alexander Thompson
• Elizabeth F Thompson, PT
• Jaclyn Thompson
• Krista Kay Thompson, PA-C
• Kristen Elise Thompson, RD
• Kylie Thompson
• Leah Thompson, MA, LPC-IT
• Lenette Thompson

• Athletic Trainer in Madison, WI
• Providers in Madison, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; 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.