Jennifer Thompson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

871352 Issued in MS

Practice address

737 Anela Dr
Diamondhead, MS 39525-3914

Phone

(228) 342-5366

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Canopy Pediatric Care LLC

  • Medically Fragile Infants and Children Day Care
  • New Orleans, LA
  • NPI 1083504344
  NPD Authorized official

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1952010308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 ANELA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253914",
            "telephone_number": "228-342-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 ANELA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253914",
            "telephone_number": "228-342-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JENNIFER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "871352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Mississippi Nephrology
• Mary Ruven Stock, PHD, LCSW
• Cornelia H. Swayze, LCSW, BCD
• The Better Communication Clinic
• Christie Hutchinson Theriot, M.D.
• Cindy Tong, PHARM. D
• Larry A Torguson, RPH
• Total Rehab Plus LLC
• Jennifer M Von Antz, PT
• Jamie Vu

• Registered Nurse in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.