Individual provider Active NPI

Amy Katherine Thompson, ARNP

  • Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1891826806
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-1674A Issued in ID
Practice address
6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Phone
(208) 635-5623
Fax
(208) 601-6153
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30007670 WA
Acute Care Nurse Practitioner 363LA2100X AP30007670 WA
Acute Care Nurse Practitioner 363LA2100X NP-1674A ID
Family Nurse Practitioner 363LF0000X AP30007670 WA
Family Nurse Practitioner 363LF0000X NP-1674A ID
Nurse Practitioner 363L00000X NP-1674A ID Primary

Addresses

Primary practice location

6360 N Sunshine St
Coeur D Alene, ID 83815-8699

Mailing address

6360 N Sunshine St
Coeur D Alene, ID 83815-8699
Phone (208) 635-5623

Other identifiers 3

IdentifierTypeStateIssuer
CS40830OtherIDID BOARD OF PHARMACY
NP-1674AOtherIDIDAHO
P00450009OtherWARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1674AIDMDFamily Nurse Practitioner
AP30007670WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inlande Empire Gymnastics Association CurrentSince Apr 20, 2025 Accepting new patients
Deer Park Urgent Care PLLC Past Accepting new patients

Locations

6360 N Sunshine St
Coeur D Alene, ID 83815
Phone (208) 635-5623

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1891826806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 N SUNSHINE ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158699",
            "telephone_number": "208-635-5623",
            "fax_number": "208-601-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 N SUNSHINE ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158699",
            "telephone_number": "208-635-5623",
            "fax_number": "208-601-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "middle_name": "KATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007670",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP30007670",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "NP-1674A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007670",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1674A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-1674A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID BOARD OF PHARMACY",
            "identifier": "CS40830",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO",
            "identifier": "NP-1674A",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00450009",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.