Nova Christeen Tompson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27039054A Issued in IN

Practice address

1201 E Beardsley Ave
Elkhart, IN 46514-3574

Phone

(574) 206-0086

Fax

(574) 970-0604

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1952978553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143574",
            "telephone_number": "574-206-0086",
            "fax_number": "574-970-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E BEARDSLEY AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465143574",
            "telephone_number": "574-206-0086",
            "fax_number": "574-970-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPSON",
        "first_name": "NOVA",
        "middle_name": "CHRISTEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27039054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annaliese Tilford
• Timothy a Quist DPM, PC (Concord Foot & Ankle Clinic)
• Piyush Tiwari
• Lou Ann Todd, MSW, ACSW,LCSW, LMFT
• Tobin Nathanial Todd, MS, BCBA
• Jared Toney, PHARMD
• Omer Muhammad Toor, MD
• Sommer Topolski
• Eric Joseph Torbert, DO
• Jaquelin Torres Alvarez

• Licensed Practical Nurse in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.