Active NPI
Eleanor Louisa Thompson, CRNP
- Women's Health Nurse Practitioner
- West Grove, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- SP025504
- Practice address
- 105 Vineyard Way Ste 200
West Grove, PA 19390-8849 - Phone
- (610) 444-7550
- NPI assigned
- Mar 28, 2022
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | SP025504 | PA | Primary |
Addresses
Primary practice location
105 Vineyard Way Ste 200
West Grove, PA 19390-8849
Mailing address
711 S 3Rd St Apt C
Philadelphia, PA 19147-3310
Phone (203) 505-7212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220823003443 | DE | Practitioner - Nurse Practitioner | 3476936485 | Reassigns benefits to 1 organization |
| I20240602000069 | PA | Practitioner - Nurse Practitioner | 3476936485 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Westside Family Healthcare, Inc.
Practice addresses (Care Compare)
908 E 16TH St
Wilmington, DE 19802-5145
Phone (302) 575-1414
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson University Physicians | Single Specialty | Current | Accepting new patients |
| Westside Family Healthcare, Inc. | Current | Accepting new patients | |
| Westside Family Healthcare, Inc. | Single Specialty | Current | Accepting new patients |
| Jefferson University Physicians | Single Specialty | Past | Accepting new patients |
Locations
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836
833 Chestnut St
Frnt 1
Philadelphia, PA 19107
Phone (215) 955-5000
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
DE, Single Specialty
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
PA, Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1669479929
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
-
- Federally Qualified Health Center (FQHC)
- Bear, DE
- NPI 1821232869
-
- Federally Qualified Health Center (FQHC)
- Dover, DE
- NPI 1588952618
-
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1831849397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 S 3RD ST APT C",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191473310",
"telephone_number": "203-505-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 VINEYARD WAY STE 200",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193908849",
"telephone_number": "610-444-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ELEANOR",
"middle_name": "LOUISA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP025504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.