Active NPI
Addyssa Thompson, NP-C
- Family Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018043747
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420065805 | Medicaid | MO |
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
Enrollment records 1
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
Practice addresses (Care Compare)
2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-1000
Hospital & facility affiliations
- Truman Medical Center Hospital Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5378280052 | KS | MD | Family Nurse Practitioner |
| 2018043747 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Truman Medical Center, Incorporated | Current | 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.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1144207937
-
- Neurological Surgery Physician
- Kansas City, MO
- NPI 1215105721
-
- Emergency Medicine Physician
- Kansas City, MO
- NPI 1396913802
-
- Ophthalmology Physician
- Kansas City, MO
- NPI 1548438047
-
- Body Imaging Physician
- Kansas City, MO
- NPI 1548439680
-
- Anesthesiology Physician
- Kansas City, MO
- NPI 1588832091
-
- Otolaryngology Physician
- Kansas City, MO
- NPI 1184893224
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kansas City, MO
- NPI 1225773401
-
- State or Local Public Health Clinic/Center
- Lees Summit, MO
- NPI 1861697955
-
- Home Health Agency
- Kansas City, MO
- NPI 1487797759
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1467595793
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.