Individual provider Active NPI

Susan M Thompson, ARNP

  • Nurse Practitioner
  • Norman, OK
National Provider Identifier
1992770853
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0030789 Issued in OK
Practice address
2417 Westport Dr
Norman, OK 73069-6337
Phone
(405) 360-2827
Fax
(866) 415-9895
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0030789 OK Primary

Addresses

Primary practice location

2417 Westport Dr
Norman, OK 73069-6337

Mailing address

2417 Westport Dr
Norman, OK 73069-6337
Phone (405) 360-2827

Other identifiers 1

IdentifierTypeStateIssuer
100211320AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000787 OK Practitioner - Nurse Practitioner 0840197836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Wellness Center of Norman LLC CurrentSince Jan 1, 2022 Accepting new patients
Joseph M. Ripperger, M.D. PLLC Past Accepting new patients
Main Clinic PC Past Accepting new patients

Locations

2760 Washington Dr
Ste 110
Norman, OK 73069
Phone (405) 360-2827

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1992770853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WESTPORT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696337",
            "telephone_number": "405-360-2827",
            "fax_number": "866-415-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WESTPORT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696337",
            "telephone_number": "405-360-2827",
            "fax_number": "866-415-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0030789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211320A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.