Colleen Thompson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2667852 Issued in FL

Practice address

4196 W US Highway 90
Ste 105
Lake City, FL 32055-8833

Phone

(386) 243-8474

Fax

(386) 438-5945

NPI assigned

Jul 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Grace Pediatrics PL

  • Rural Health Clinic/Center
  • Fort White, FL
  • NPI 1326885294
  NPD Authorized official
• Grace Pediatrics PL

  • Pediatric Nurse Practitioner
  • Lake City, FL
  • NPI 1720362429
  NPD Authorized official
• North Florida Emergency Physicians

  • Emergency Medicine Physician
  • Lake City, FL
  • NPI 1538251186
  NPD (past)
• Shands Teaching Hospital and Clinics Inc

  • Clinic/Center
  • Gainesville, FL
  • NPI 1821184649
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1922007475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 W US HIGHWAY 90",
            "address_2": "SUITE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558833",
            "telephone_number": "386-243-8474",
            "fax_number": "386-438-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4196 W US HIGHWAY 90",
            "address_2": "STE 105",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320558833",
            "telephone_number": "386-243-8474",
            "fax_number": "386-438-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 SW Cullen Ave",
            "address_purpose": "LOCATION",
            "city": "Fort White",
            "state": "FL",
            "postal_code": "320383536",
            "country_code": "US",
            "telephone_number": "386-243-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2667852",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2667852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306015200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary K Thomas, MD
• Patricia Thomas
• Shannon Thomas
• Tonecia R Thomas
• Brittany Creech Thompson
• Fabryanna S Thompson
• Geneva J Thompson, LCSW
• Mark Edmund Thompson, D.O.
• Danny Michael Thornton
• Michelle Christine Thorpe

• Family Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.