Nutrecia Thompson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P319249 Issued in MS

Practice address

105 N Cherry St
Tylertown, MS 39667-2308

Phone

(601) 814-0060

NPI assigned

Jul 3, 2013

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blessing Hearts Private Duty Home Care LLC

  • Licensed Practical Nurse
  • Tylertown, MS
  • NPI 1174122733
  NPD Authorized official
• Blessing Hearts Healthcare Services,LLC

  • In Home Supportive Care Agency
  • Tylertown, MS
  • NPI 1558807743
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1861832982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CARTO RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396677533",
            "telephone_number": "601-814-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CHERRY ST",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396672308",
            "telephone_number": "601-814-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NUTRECIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "P319249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Health Agency for Rural People, Inc. (SHARP, Inc)
• Southwest Pharmacy Inc (Guy's Pharmacy of Tylertown)
• Sylvia Sessions Stogner, LCSW
• Symphony Respiratory Services (Golden Care of Tylertown)
• Thomas Drug Company (Brumfields Drugs)
• Tylertown Surgical Associates
• Walthal Rural Health Clinic (Tylertown Internal Medicine Clinic)
• Walthall County Behavioral Services
• Walthall County General Hospital
• Walthall County General Hospital

• Licensed Practical Nurse in Tylertown, MS
• Providers in Tylertown, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.