Active NPI
Agnes Thompson
- Case Manager/Care Coordinator
- Spring, TX
National Provider Identifier
1841505997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 18284941
- Practice address
- 6842 Shallow River CT
Spring, TX 77379-4193 - Phone
- (832) 704-7494
- NPI assigned
- Aug 13, 2010
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 18284941 | TX | Primary |
Addresses
Primary practice location
6842 Shallow River CT
Spring, TX 77379-4193
Mailing address
6842 Shallow River CT
Spring, TX 77379-4193
Phone (832) 704-7494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18284941 | Other | TX | TEXAS DRIVERS LICENSE |
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 |
|---|---|---|---|
| 18284941 | TX | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1841505997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842 SHALLOW RIVER CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773794193",
"telephone_number": "832-704-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 SHALLOW RIVER CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773794193",
"telephone_number": "832-704-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "AGNES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": "18284941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DRIVERS LICENSE",
"identifier": "18284941",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.