Active NPI
Tyce Allen Thompson Sr.
- Nurse's Aide
- Bisbee, AZ
National Provider Identifier
1841349990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 203 Fort Huachuca LN
Bisbee, AZ 85603-3019 - Phone
- (520) 249-6925
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA25394 | FL | |
| Nurse's Aide | 376K00000X | AZ | Primary |
Addresses
Primary practice location
203 Fort Huachuca LN
Bisbee, AZ 85603-3019
Mailing address
PO Box 4251
Bisbee, AZ 85603-4251
Phone (520) 249-6925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848955 | Medicaid | AZ |
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 |
|---|---|---|---|
| CNA999995090 | AZ | MD | Nurse's Aide |
| CNA25394 | FL | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1841349990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4251",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856034251",
"telephone_number": "520-249-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 FORT HUACHUCA LN",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856033019",
"telephone_number": "520-249-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TYCE",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA25394",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "848955",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bisbee, AZ
- Richard Roland Snure, M.D.
- Speak With US Inc
- Speak With US, Inc.
- Brad Thayer, LPC, NCC, CCTP
- Laurie Thomas, MD
- Melba Travis, FNP
- Marla Jeanne Trepanier, RPH.
- Tucson Orthopaedic Institute Professional Corporation (Tucson Orthopaedic Institute, PC)
- Tambra Knipp Vertrees, R.N.
- Catherine Khanh-an Vu, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.