Stacy Thompson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010807 Issued in CA

Practice address

3610 Village Dr Apt a
Carlsbad, CA 92008-3362

Phone

(760) 717-0389

NPI assigned

Feb 21, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians

County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 38)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Santa Clara

  dba Josefina Narvaez Mental Health Center MH Aoa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment Care Compare group NPD
• Emergency Physicians Associates San Jose PC

  • Emergency Medicine Physician
  • San Jose, CA
  • NPI 1306311576
  Medicare reassignment Care Compare group NPD
• California Emergency Physicians Medical Group, a Professional Corp

  dba Vituity

  • Emergency Medicine Physician
  • Truckee, CA
  • NPI 1215365218
  Medicare reassignment NPD
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment NPD
• GN Medical Associates, Inc.

  dba Gerinet Medical Associates

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  Medicare reassignment NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• Mary Gessner-Peterson Medical Group, Inc

  dba California Mobile Physicians and Comprehensive Medicine

  • Internal Medicine Physician
  • Alpine, CA
  • NPI 1467709220
  Medicare reassignment NPD
• California Emergency Physicians Medical Group a Professional Corp

  dba Vituity

  • Internal Medicine Physician
  • Oceanside, CA
  • NPI 1508233065
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Glendora, CA
  • NPI 1043684764
  NPD

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

• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  Care Compare affiliation

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1891252318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 VILLAGE DR APT A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083362",
            "telephone_number": "760-717-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 VILLAGE DR APT A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083362",
            "telephone_number": "760-717-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STACY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Thomason, P.T.A.
• Zoe Miani Thompkins
• Alyssa Nicole Thompson
• Paige Thompson, PSYD
• Sharon K Thompson, PHD
• Tyler James Thompson
• Rhonda Thomson, LMFT, LPCC
• Bharathy Thridandam, LCSW
• Thrifty Payless Inc (Rite Aid Pharmacy 05621)
• Thrifty Payless Inc (Rite Aid Pharmacy 05622)

• Family Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.

Verify at the official NPI Registry.