Individual provider Active NPI

Kathryn Marie Thompson, FNP-C

  • Family Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1952016222
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
THOM-BX2XT Issued in NC
Practice address
16415 Northcross Dr Ste B
Huntersville, NC 28078-5001
Phone
(704) 775-6029
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X THOM-BX2XT NC Primary

Addresses

Primary practice location

16415 Northcross Dr Ste B
Huntersville, NC 28078-5001

Mailing address

65 Circle Dr
Medina, OH 44256-2552
Phone (330) 590-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20250627000273 NC Practitioner - Nurse Practitioner 9638682396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
THOM-BX2XTNCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Hyperbaric Institute LLC CurrentSince Apr 5, 2025 Accepting new patients
LKN Wellness, PLLC Current Accepting new patients

Locations

146 E McLelland Ave
Mooresville, NC 28115
Phone (704) 871-1712

146 Medical Park Rd
Ste 110
Mooresville, NC 28117
Phone (704) 471-4100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1952016222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CIRCLE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562552",
            "telephone_number": "330-590-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 NORTHCROSS DR STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785001",
            "telephone_number": "704-775-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "THOM-BX2XT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.