Kristina Dianne Thompson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02004077A Issued in IN

Practice address

1348 Ohio St
Suite B
Terre Haute, IN 47807-3937

Phone

(812) 232-6628

Fax

(812) 645-0324

NPI assigned

Sep 30, 2011

Sex

Female

Sole proprietor

Yes

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 IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379116800000",
    "number": "1942584529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 OHIO ST",
            "address_2": "SUITE B",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073937",
            "telephone_number": "812-232-6628",
            "fax_number": "812-645-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 OHIO ST",
            "address_2": "SUITE B",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478073937",
            "telephone_number": "812-232-6628",
            "fax_number": "812-645-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTINA",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-30",
        "last_updated": "2013-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004077A",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "02004077A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thompson, PTA
• Jessica Thompson
• John G Thompson, PH.D.
• Kaylee Annette Thompson
• Kelly Thompson
• Lillian Paige Thompson, B.S.
• Micah Elizabeth Thompson, MD
• Sandra Thompson, RN
• Courtney Elizabeth Thomson, NP
• Manju Thothala, MD

• Family Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.