Active NPI
E. Michele Thompson, CRNP
- Women's Health Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1912032889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN208659L
- Practice address
- 4400 Haverford Ave
Health Center #4
Philadelphia, PA 19104-1361 - Phone
- (215) 685-7600
- Fax
- (215) 685-7379
- NPI assigned
- Feb 22, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN208659L | PA | Primary |
Addresses
Primary practice location
4400 Haverford Ave
Health Center #4
Philadelphia, PA 19104-1361
Mailing address
4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone (215) 685-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UP003263G | Other | PA | NP |
| RN 208659L | Other | PA | LICENSE NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN208659L | PA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1912032889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041361",
"telephone_number": "215-685-7600",
"fax_number": "215-685-7379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 HAVERFORD AVE",
"address_2": "HEALTH CENTER #4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191041361",
"telephone_number": "215-685-7600",
"fax_number": "215-685-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "E. MICHELE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "RN208659L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP",
"identifier": "UP003263G",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "RN 208659L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.