Carli Burch Thompson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07220505 Issued in UT

Practice address

1916 N 700 W Ste 110
Layton, UT 84041-5754

Phone

(801) 686-5015

NPI assigned

Jul 8, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health Home health agency, Layton, UT, CCN 467231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Canyon Healthcare, Inc.

  dba Physician Home Care

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1649748559

  Single Specialty

  NPD

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

• Silver Lake Healthcare, Inc.

  dba Symbii Home Health

  • Home Health Agency
  • Layton, UT
  • NPI 1184914772
  Care Compare affiliation

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1952034654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-686-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N 700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415754",
            "telephone_number": "801-686-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4690 Porter Ave",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844033835",
            "country_code": "US",
            "telephone_number": "801-686-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLI",
        "middle_name": "BURCH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F07220505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F07220505",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubree Thomas
• Gabriel Thomas
• Karrington Royale Thomas
• Warren Thomas
• Audrey Thompson
• Dale Thompson, O.D.
• Dustin Thompson, FNP-C
• Holly A Thompson
• Jessica Thompson, BA
• Michael Thompson

• Family Nurse Practitioner in Layton, UT
• Providers in Layton, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.