Jackie L Thompson, MA-CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147000801 Issued in IL

Practice address

1050 E Norris Dr
Suite 2a
Ottawa, IL 61350-1605

Phone

(815) 431-5327

Fax

(815) 431-5691

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1891037073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E NORRIS DR",
            "address_2": "ATTN: AUDIOLOGY",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501604",
            "telephone_number": "815-431-5327",
            "fax_number": "815-431-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E NORRIS DR",
            "address_2": "SUITE 2A",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501605",
            "telephone_number": "815-431-5327",
            "fax_number": "815-431-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACKIE",
        "middle_name": "L",
        "credential": "MA-CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Testin, SLP
• The Centre for Oral Surgery in Joliet, Inc.
• The Hair Toss Boss and Company
• Alison Theisinger, DPT, ATC
• David Gerard Thompson, M.D.
• Samantha Thompson
• Trevor Thompson, COTA
• Julie Ann Threadgill, APRN,CNP
• Thrive Collective
• Elizabeth M Thrush, RPH

• Audiologist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.