Active NPI
Deborah Thompson, REGISTERED NURSE
- Home Health Registered Nurse
- Clarkston, WA
National Provider Identifier
1811705403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN00172581
- Practice address
- 1370 Bridge St
Clarkston, WA 99403-2332 - Phone
- (509) 780-1736
- NPI assigned
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN00172581 | WA | Primary |
Addresses
Primary practice location
1370 Bridge St
Clarkston, WA 99403-2332
Mailing address
845 Malone Hill Rd
Pomeroy, WA 99347-8729
Phone (509) 780-1736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00172581 | WA | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1811705403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 MALONE HILL RD",
"city": "POMEROY",
"state": "WA",
"postal_code": "993478729",
"telephone_number": "509-780-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 BRIDGE ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032332",
"telephone_number": "509-780-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DEBORAH",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "WA",
"license": "RN00172581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.