Active NPI
Christiana Marie Thompson, CNP
- Nurse Practitioner
- Mountain Home, AR
National Provider Identifier
1831282995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ANP1284
- Practice address
- 250 Drillers Rd
Mountain Home, AR 72653-5186 - Phone
- (870) 492-5995
- Fax
- (870) 508-8900
- NPI assigned
- Oct 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ANP1284 | AR | Primary |
Addresses
Primary practice location
250 Drillers Rd
Mountain Home, AR 72653-5186
Mailing address
630 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 492-5995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141528758 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1284 | AR | MD | Addiction (Substance Use Disorder) Counselor |
| ANP1284 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1831282995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-492-5995",
"fax_number": "870-508-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 DRILLERS RD",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726535186",
"telephone_number": "870-492-5995",
"fax_number": "870-508-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "CHRISTIANA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "ANP1284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141528758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.