Juanetta Thompson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 2141902 Issued in FL

Practice address

325 Medina CT
Kissimmee, FL 34758-4302

Phone

(407) 552-7679

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: juanetta.thompson.1@26688.direct.athenahealth.com

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1760875488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MEDINA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584302",
            "telephone_number": "407-552-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MEDINA CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584302",
            "telephone_number": "407-552-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JUANETTA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2141902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Cole Thompson, OTR/L
• Coleen Rosemarie Thompson, NP
• Colleen Thompson
• Dean Norton Thompson, MD, MSPH
• Joy E Thompson, RN
• Kissie Thompson, PHYSICAL THERAPIST
• Klace Thompson
• Leon Hugh Thompson, RN
• Michael Thompson, MD
• Shemariah Mattithyah Thompson

• Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.