Individual provider Active NPI

Paula D Thompson, PA-C

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1821198672
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004529 Issued in WA
Practice address
525 S Cowley St
Spokane, WA 99202-1381
Phone
(509) 363-7788
Fax
(509) 363-7064
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10004529 WA Primary

Addresses

Primary practice location

525 S Cowley St
Spokane, WA 99202-1381

Mailing address

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000212 WA Practitioner - Physician Assistant 3678565199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004529WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Imaging, PS CurrentSince Jan 1, 2013 Accepting new patients
Inland Imaging Associates PS Past Accepting new patients

Locations

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

551 E Hawthorne Rd
Spokane, WA 99218
Phone (509) 252-1900

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

105 W 8th Ave
Ste 200
Spokane, WA 99204
Phone (509) 624-9112

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1821198672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-363-7788",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021381",
            "telephone_number": "509-363-7788",
            "fax_number": "509-363-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.