Active NPI
Sandra Rae Thompson, MSN, APNP, FNP-C
- Family Nurse Practitioner
- Fitchburg, WI
National Provider Identifier
1902300205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8283-33
- Practice address
- 5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395 - Phone
- (608) 276-4660
- Fax
- (608) 276-4672
- NPI assigned
- Mar 21, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 189406-30 | WI | |
| Registered Nurse | 163W00000X | 041.452688 | IL | |
| Registered Nurse | 163W00000X | 28185998A | IN | |
| Family Nurse Practitioner | 363LF0000X | 8283-33 | WI | Primary |
Addresses
Primary practice location
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Mailing address
5395 E Cheryl Pkwy
Fitchburg, WI 53711-5395
Phone (608) 276-4660
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.452688 | IL | MD | Registered Nurse |
| 28185998A | IN | MD | Registered Nurse |
| 189406-30 | WI | MD | Registered Nurse |
| 8283-33 | WI | MD | Family Nurse Practitioner |
Interoperability endpoints
- sthompson481214@direct-ehr-ssmhc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1902300205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660",
"fax_number": "608-276-4672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5395 E CHERYL PKWY",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115395",
"telephone_number": "608-276-4660",
"fax_number": "608-276-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SANDRA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "MSN, APNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "189406-30",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.452688",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28185998A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8283-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fitchburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.