Manju Thomson, MSN. CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP5226 Issued in AZ

Practice address

4540 E Baseline Rd Ste 108
Mesa, AZ 85206-4616

Phone

(480) 892-3880

Fax

(480) 545-4551

NPI assigned

Oct 16, 2013

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

Enrolled in AZ, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

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.

• Gila River Health Care Corporation

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• My Catholic Doctor, P.L.L.C.

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1396201307

  AZ

  Medicare reassignment
• Gila River Health Care

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Health Care Corporation

  • Rural Acute Care Hospital
  • Maricopa, AZ
  • NPI 1386633915
  NPD
• Gila River Regional Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Sacaton, AZ
  • NPI 1497880439
  NPD
• Gilbert Childrens Medical Group Inc

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1427211804
  NPD (past)
• Urgent Care Travel, Inc

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1982186235
  NPD (past)
• Valley of the Sun Pediatrics, P.C.

  • Pediatrics Physician
  • Peoria, AZ
  • NPI 1801162854
  NPD (past)

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1972931640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25810 N 50TH GLN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831848",
            "telephone_number": "623-251-5115",
            "fax_number": "623-362-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-892-3880",
            "fax_number": "480-545-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "MANJU",
        "name_prefix": "Mrs.",
        "credential": "MSN. CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP5226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Kathleen Thompson, MPT
• Tanya Lea Thompson, PHARMD.
• Tara Thompson, PA-C
• Tara M Thompson, FNP
• William Chad Thompson, DO
• Renee Thornburg, COTA
• Erica Thorne, NP
• Jeffery Thorne
• Thornridge Medical and Management Inc
• Briana Jessica Thornton, AU.D.

• Pediatric Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.