Active NPI
Skeeter Thompson Nembhard, APRN
- Family Nurse Practitioner
- Longwood, FL
National Provider Identifier
1861859183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9453519
- Practice address
- 1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969 - Phone
- (407) 732-5753
- NPI assigned
- Jan 17, 2016
- Reactivated
- Dec 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340172 | NY | |
| Family Nurse Practitioner | 363LF0000X | 9453519 | FL | Primary |
Addresses
Primary practice location
1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969
Mailing address
1250 W State Road 434 Ste 1004
Longwood, FL 32750-4969
Phone (407) 732-5753
Other practice location 1
2 Westridge Ct
East Stroudsburg, PA 18302-7100
Phone (646) 221-6095
Other practice location 2
2610 SW 85th Ter
Miramar, FL 33025-2947
Phone (917) 993-0281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9453519 | FL | MD | Family Nurse Practitioner |
| 340172 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson-Nembhard Inc | Family | Current | Accepting new patients |
Locations
1250 W State Road 434
Ste 1004
Longwood, FL 32750
Phone (407) 260-8227
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Longwood, FL
- NPI 1831669456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1861859183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W STATE ROAD 434 STE 1004",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504969",
"telephone_number": "407-732-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W STATE ROAD 434 STE 1004",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504969",
"telephone_number": "407-732-5753"
}
],
"practiceLocations": [
{
"address_1": "2 Westridge Ct",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183027100",
"country_code": "US",
"telephone_number": "646-221-6095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2610 SW 85th Ter",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330252947",
"country_code": "US",
"telephone_number": "917-993-0281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON NEMBHARD",
"first_name": "SKEETER",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-17",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"deactivation_date": "2018-11-26",
"reactivation_date": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340172",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9453519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.