Tabia Thompson-Lamothe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9249 Issued in CT

Practice address

1279 W Main St
Waterbury, CT 06708-3101

Phone

(203) 755-5490

NPI assigned

Sep 26, 2020

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

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Bridgeport Family Medicine LLC

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1548642283
  Medicare reassignment NPD
• Cornell Scott Hill Health Corporation

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1902921380
  Medicare reassignment NPD

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1932716628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083101",
            "telephone_number": "203-755-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083101",
            "telephone_number": "203-755-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-LAMOTHE",
        "first_name": "TABIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Lois Thomas
• Cybill Shelby Thomas, APRN
• Jennifer Thomas
• Nina Thomas, COUNSELOR-PEDUCATOR
• Reney C Thomas, PA
• Austin Thompson, M.D.
• Bennyta Thompson
• Christina Thompson
• Christina S Thompson, BS
• Dwayne Thompson

• Family Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.