Nicolette Lee Thompson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00656 Issued in OR

Practice address

589 NW 11TH Street
Hermiston, OR 97838-6600

Phone

(541) 567-1717

Fax

(541) 567-9662

NPI assigned

Feb 21, 2007

Last updated

Mar 7, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922143445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "541-567-1717",
            "fax_number": "541-567-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 NW 11TH STREET",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386600",
            "telephone_number": "541-567-1717",
            "fax_number": "541-567-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLETTE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena M Tessoni, RN
• The Evangelical Lutheran Good Samaritan Society (Hermiston Good Samaritan Center)
• The Power House Residential Drug Treatment Center Inc
• Ryan S Thomas
• Matthew J Thompson, MD
• Matthew Thornton
• Thrifty Payless Inc (Rite Aid Pharmacy 05397)
• Deanna Tinker, CRM
• Elizabeth Ann Tolman, PTA
• Nicole A Tombers, PTA

• Physician Assistant in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.