NPIMap

Individual provider Active NPI

Kenneth Joel Thompson, CRNA

  • Certified Registered Nurse Anesthetist
  • Boone, NC
National Provider Identifier
1942373204
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
70346 Issued in NC
Practice address
336 Deerfield Road
Boone, NC 28607
Phone
(828) 263-1211
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 70346 NC Primary

Addresses

Primary practice location

336 Deerfield Road
Boone, NC 28607

Mailing address

118 Kyles Path
Vilas, NC 28692-3004
Phone (910) 583-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050930000769 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012942725 Reassigns benefits to 2 organizations
I20230405000927 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012942725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Anesthesia AssociatesGroup PAC ID 3274446422, 111 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 255-1000

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70346NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2023 Accepting new patients
Pelham Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 17, 2023 Accepting new patients
Watauga Medical Center Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Pelham Medical Center CurrentSince Mar 17, 2023 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Watauga Medical Center, Inc. Current Accepting new patients
Spartanburg Medical Center CurrentSince Mar 17, 2023 Accepting new patients
Watauga Medical Center Inc CurrentSince Mar 1, 2014 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Current Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Mar 1, 2014 Accepting new patients

Locations

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111

338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1942373204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KYLES PATH",
            "city": "VILAS",
            "state": "NC",
            "postal_code": "286923004",
            "telephone_number": "910-583-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 DEERFIELD ROAD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-263-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KENNETH",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "70346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.