Active NPI
Venessa Joan Thompson, NP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1801809702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 107667
- Practice address
- 11011 S 48TH St Ste 101
Phoenix, AZ 85044-1787 - Phone
- (602) 730-9670
- Fax
- (480) 864-9440
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 107667 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 107667 | AZ | Primary |
Addresses
Primary practice location
11011 S 48TH St Ste 101
Phoenix, AZ 85044-1787
Mailing address
11011 S 48TH St Ste 101
Phoenix, AZ 85044-1787
Phone (602) 730-9670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107667 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Canyon Psychiatry | Current | Accepting new patients | |
| Boojum Obstetrics and Gynecology | Current | Accepting new patients | |
| Valley Women for Women, PC | Past | Accepting new patients | |
| Arizona OB GYN Affiliates PC | Past | Accepting new patients |
Locations
3367 S Mercy Rd
Ste 207
Gilbert, AZ 85297
Phone (480) 855-5900
11011 S 48th St
Ste 101
Phoenix, AZ 85044
Phone (480) 893-0515
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.
-
- Specialist
- Gilbert, AZ
- NPI 1912225806
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1770317422
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
-
- Gynecology Physician
- Chandler, AZ
- NPI 1043433691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1801809702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11011 S 48TH ST STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441787",
"telephone_number": "602-730-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11011 S 48TH ST STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850441787",
"telephone_number": "602-730-9670",
"fax_number": "480-864-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "VENESSA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "107667",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "107667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.