Active NPI
Naveisha Tanette Thompson, FNP
- Family Nurse Practitioner
- Pembroke, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016411
- Practice address
- 310 E Wardell Dr
Pembroke, NC 28372-7997 - Phone
- (910) 521-1273
- NPI assigned
- Jun 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5016411 | NC | Primary |
Addresses
Primary practice location
310 E Wardell Dr
Pembroke, NC 28372-7997
Mailing address
310 E Wardell Dr
Pembroke, NC 28372-7997
Phone (910) 521-1273
Other practice location 1
1555 Willis Ave
Lumberton, NC 28358-4283
Phone (910) 739-6048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Kidzcare Pediatrics, PC | Past | Accepting new patients |
Locations
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
1555 Willis Ave
Lumberton, NC 28358
Phone (910) 739-6048
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
310 E Wardell Dr
Pembroke, NC 28372
Phone (901) 521-1273
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1669422846
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1811628670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E WARDELL DR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727997",
"telephone_number": "910-521-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E WARDELL DR",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727997",
"telephone_number": "910-521-1273"
}
],
"practiceLocations": [
{
"address_1": "1555 Willis Ave",
"address_purpose": "LOCATION",
"city": "Lumberton",
"state": "NC",
"postal_code": "283584283",
"country_code": "US",
"telephone_number": "910-739-6048",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "NAVEISHA",
"middle_name": "TANETTE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.