Theresa Marie Thompson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FO512306 Issued in TX

Practice address

6560 Fannin St Ste 1760
Houston, TX 77030-2735

Phone

(713) 795-5056

Fax

(713) 795-5096

NPI assigned

Jul 17, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4
• Direct secure messaging: teresa.thompson.1@11939.direct.athenahealth.com

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.

• Texas Pain Consultants, LLP

  • Pain Medicine (Anesthesiology) Physician
  • Sugar Land, TX
  • NPI 1932211992
  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1871848796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1760",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-795-5056",
            "fax_number": "713-795-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1760",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302735",
            "telephone_number": "713-795-5056",
            "fax_number": "713-795-5096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9180 Pinecroft Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "77380",
            "country_code": "US",
            "telephone_number": "281-296-0365",
            "fax_number": "281-298-8907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Granberry St",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384547",
            "country_code": "US",
            "telephone_number": "832-644-6496",
            "fax_number": "832-644-6499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9180 Pinecroft Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "77380",
            "country_code": "US",
            "telephone_number": "281-296-0365",
            "fax_number": "281-298-8907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "FO512306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333857606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Pichon Thompson, PA-C
• Shunda Thompson, DDS
• Sierra M Thompson, MA, LPC
• Steven Michael Thompson, DDS
• Theatric L Thompson Sr., LPC
• Tori Thompson
• Tracy Lynn Thompson, PH.D.
• Tyler Thompson
• Zaine Lamor Thompson
• Henry D Thompson,III, D.D.S.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.

Verify at the official NPI Registry.