Individual provider Active NPI

Addyssa Thompson, NP-C

  • Family Nurse Practitioner
  • Kansas City, MO
National Provider Identifier
1861975005
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018043747 Issued in MO
Practice address
2301 Holmes St
Kansas City, MO 64108-2640
Phone
(816) 404-3855
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5378280052 KS
Family Nurse Practitioner 363LF0000X 2018043747 MO Primary

Addresses

Primary practice location

2301 Holmes St
Kansas City, MO 64108-2640

Mailing address

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-3855

Other practice location 1

3606 Gillham Road
19
Kansas City, MO 64111
Phone (816) 878-3937

Other practice location 2

1439 S Minter Way
Grain Valley, MO 64029-9648
Phone (816) 404-6785

Other practice location 3

1525 E 23rd St S
Independence, MO 64055-1670
Phone (819) 404-9800

Other practice location 4

9406 E 63rd St
Raytown, MO 64133-4904
Phone (816) 356-1000

Other practice location 5

606 S Hardy Ave
Independence, MO 64053-1827
Phone (816) 404-5770

Other practice location 6

4545 S Noland Rd
Independence, MO 64055-4887
Phone (816) 404-9810

Other identifiers 1

IdentifierTypeStateIssuer
420065805MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125002606 MO Practitioner - Nurse Practitioner 1951648179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truman Medical Center IncorporatedGroup PAC ID 7315841418, 237 clinicians

Practice addresses (Care Compare)

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000

Hospital & facility affiliations

  • Truman Medical Center Hospital Hill Hospital, Kansas City, MO, CCN 260048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5378280052KSMDFamily Nurse Practitioner
2018043747MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truman Medical Center, Incorporated CurrentSince Jan 14, 2019 Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center Incorporated Current Accepting new patients
Truman Medical Center, Incorporated CurrentSince Jan 14, 2019 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
University Health Physicians Past Accepting new patients
Truman Medical Center, Incorporated Past Accepting new patients

Locations

1439 S Minter Way
Grain Valley, MO 64029
Phone (816) 404-6785

4545 S Noland Rd
Independence, MO 64055
Phone (816) 404-9810

1525 E 23rd St S
Independence, MO 64055
Phone (816) 404-9800

606 S Hardy Ave
Independence, MO 64053
Phone (816) 404-5770

2211 Charlotte St
Ste 200
Kansas City, MO 64108
Phone (816) 404-4862

2301 Charlotte St
Kansas City, MO 64108
Phone (816) 404-3855

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

7900 Lees Summit Rd
Ofc
Kansas City, MO 64139
Phone (816) 404-9030

2301 Holmes St
Fl 4
Kansas City, MO 64108
Phone (816) 404-3990

2301 Holmes St
Kansas City, MO 64108

9406 E 63rd St
Raytown, MO 64133
Phone (816) 356-1000

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1861975005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082640",
            "telephone_number": "816-404-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3606 Gillham Road",
            "address_2": "19",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64111",
            "country_code": "US",
            "telephone_number": "816-878-3937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1439 S Minter Way",
            "address_purpose": "LOCATION",
            "city": "Grain Valley",
            "state": "MO",
            "postal_code": "640299648",
            "country_code": "US",
            "telephone_number": "816-404-6785",
            "fax_number": "816-404-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 E 23rd St S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640551670",
            "country_code": "US",
            "telephone_number": "819-404-9800",
            "fax_number": "816-404-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9406 E 63rd St",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641334904",
            "country_code": "US",
            "telephone_number": "816-356-1000",
            "fax_number": "816-356-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 S Hardy Ave",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640531827",
            "country_code": "US",
            "telephone_number": "816-404-5770",
            "fax_number": "816-404-5775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 S Noland Rd",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640554887",
            "country_code": "US",
            "telephone_number": "816-404-9810",
            "fax_number": "816-404-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ADDYSSA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5378280052",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018043747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420065805",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.