Individual provider Active NPI

Jamie L Thompson, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Lander, WY
National Provider Identifier
1790120038
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-461 Issued in WY
Practice address
307 Main St
Lander, WY 82520-3101
Phone
(307) 332-2715
Fax
(307) 332-0314
NPI assigned
Apr 30, 2013
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-461 WY Primary

Addresses

Primary practice location

307 Main St
Lander, WY 82520-3101

Mailing address

307 Main St
Lander, WY 82520-3101
Phone (307) 332-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131125001482 WY Practitioner - Qualified Speech Language Pathologist 9436385341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-461WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sinks Canyon Therapies Inc Speech-Language Pathologist CurrentSince Jul 1, 2013 Accepting new patients
Osback Pharmaceuticals Inc Past Accepting new patients
Sinks Canyon Therapies Inc Past Accepting new patients

Locations

307 Main St
Lander, WY 82520
Phone (307) 332-2715

634 Main St
Lander, WY 82520
Phone (307) 332-2270

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1790120038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.