Active NPI
Deborah J Thompson, PA
- Physician Assistant
- Colchester, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0550030453
- Practice address
- On Tap Health
401 Waterflower Circle Suite 201
Colchester, VT 05446 - Phone
- (802) 698-8583
- Fax
- (833) 388-1974
- NPI assigned
- Jul 24, 2006
- Last updated
- Jan 31, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0550030453 | VT | Primary |
Addresses
Primary practice location
On Tap Health
401 Waterflower Circle Suite 201
Colchester, VT 05446
Mailing address
On Tap Health
401 Waterflower Circle Suite 201
Colchester, VT 05446
Phone (802) 698-8583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0AP1189 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0550030453 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
883 Blakely Rd
Colchester, VT 05446
Phone (802) 847-2055
Interoperability endpoints
- deborah.thompson.1@14940.direct.athenahealth.com
Organizations & group practices 1
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1902828072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ON TAP HEALTH",
"address_2": "401 WATERFLOWER CIRCLE SUITE 201",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "05446",
"telephone_number": "802-698-8583",
"fax_number": "833-388-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ON TAP HEALTH",
"address_2": "401 WATERFLOWER CIRCLE SUITE 201",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "05446",
"telephone_number": "802-698-8583",
"fax_number": "833-388-1974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "0550030453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0AP1189",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colchester, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.