Jaime Thompson, MSN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP142096 Issued in TX

Practice address

1774 W McDermott Dr
Suite 150
Allen, TX 75013

Phone

(469) 340-2777

NPI assigned

Jul 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Shahla Ali MD PA

  dba Allen Psychiatry

  • Adult Mental Health Clinic/Center
  • Allen, TX
  • NPI 1528649365
  NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1912569229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 FOXBORO DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442820",
            "telephone_number": "214-250-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 W MCDERMOTT DR",
            "address_2": "SUITE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "469-340-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAIME",
        "credential": "MSN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANC CERTIFICATION",
            "identifier": "2019028426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedrick Thomas
• Sierra Nicholle Thomas, FNP
• Sutha Thomas, M.D.
• Thompson Counseling and Family Therapy, PLLC (Carol Elise Thompson MS LMFT)
• Carol Elise Thompson, L.M.F.T.
• Kathryn Thompson, PA-C
• Robin Thompson, RPH
• Thor Anesthesia Associates PLLC
• Deepthi Thotakura, M.D
• Thrive Dental Allen PLLC (Thrive Dental and Orthodontics)

• Psychiatric/Mental Health Nurse Practitioner in Allen, TX
• Providers in Allen, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.

Verify at the official NPI Registry.