Larry S Thompson, MS CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

5832 Petrified Tree LN
North Las Vegas, NV 89081-6864

Phone

(850) 255-1612

NPI assigned

Aug 26, 2019

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1992353775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5832 PETRIFIED TREE LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816864",
            "telephone_number": "850-255-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 PETRIFIED TREE LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816864",
            "telephone_number": "850-255-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LARRY",
        "middle_name": "S",
        "credential": "MS   CHW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron La Monte Thompson
• Aileen Thompson, DNP, APRN, ACNP-BC
• Brean Angel Thompson
• Jeffrey Thompson
• Kennedy Thompson
• Matthew Daniel Thompson
• Melvin D Thompson
• Richale Jeaneane Thompson
• Tasha Thompson
• Valerie Louise Thompson, DMD

• Community Health Worker in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.