Kristin Marie Thompson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1237 Augusta West Pkwy
Augusta, GA 30909-1807

Phone

(603) 686-0535

NPI assigned

Jul 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1952910127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091807",
            "telephone_number": "603-686-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 AUGUSTA WEST PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091807",
            "telephone_number": "603-686-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301511",
            "country_code": "US",
            "telephone_number": "706-554-2916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "16975",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AUGUSTA",
            "affiliation": "N",
            "endpointDescription": "Autism Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "AUGUSTA",
            "address_1": "1237 Augusta West Pkwy",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309091807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janiece Aaleeya Thompson
• Karen Mizzi Thompson, OTR/L
• Katharina Maria Thompson, PA-C
• Kathryn Diane Thompson, LMFT
• Kim Michelle Thompson, M.D.
• Mary Ellen Thompson, NNP-BC
• Merritt Thompson
• Rebecca Caitlin Thompson
• Robert J Thompson, MD
• Samuel Michael Thompson

• Behavior Technician in Augusta, GA
• Providers in Augusta, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.