Individual provider Active NPI

Sylvia Ann Thompson, RN, CPED

  • Registered Nurse
  • Snohomish, WA
National Provider Identifier
1831294073
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00117663 Issued in WA
Practice address
12830 63Rd Ave SE
Snohomish, WA 98296-4254
Phone
(509) 392-3943
Fax
(509) 834-7103
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN00117663 WA
Pedorthist 224L00000X CPED2653 WA
Customized Equipment (DME) 332BC3200X
Registered Nurse 163W00000X RN00117663 WA Primary

Addresses

Primary practice location

12830 63Rd Ave SE
Snohomish, WA 98296-4254

Mailing address

12830 63Rd Ave SE
Snohomish, WA 98296-4254
Phone (509) 392-3943

Other practice location 1

409 S Oak St
Port Angeles, WA 98362-2822
Phone (360) 582-3736

Other identifiers 1

IdentifierTypeStateIssuer
2083506MedicaidWA

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00117663WAMDRegistered Nurse
CPED2653WAMDPedorthist

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvia a Thompson Past Accepting new patients
Well Foot Clinic Past Accepting new patients

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831294073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 63RD AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982964254",
            "telephone_number": "509-392-3943",
            "fax_number": "509-834-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 63RD AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982964254",
            "telephone_number": "509-392-3943",
            "fax_number": "509-834-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 S Oak St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983622822",
            "country_code": "US",
            "telephone_number": "360-582-3736",
            "fax_number": "360-582-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SYLVIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, CPED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN00117663",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "WA",
            "license": "CPED2653",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00117663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083506",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.