Thompson Child and Family Focus

Organization Active NPI Pediatric Registered Nurse · Matthews, NC

NPI 1992943898 · NPPES record last updated Nov 9, 2017

Key facts

NPI
1992943898
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Registered Nurse 163WP0200X
Legal business name
THOMPSON CHILD AND FAMILY FOCUS
Practice address
6800 Saint Peters LN
Matthews, NC 28105-8458
Phone
(704) 536-0375
Fax
(704) 531-9266
NPI assigned
Jan 30, 2009
Organization subpart
No

Authorized official

Name
Mary Elizabeth Porras Kantrowitz
Title
Accounts Receivable
Phone
(704) 536-0375

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

National Provider Directory

Tax ID family
Thompson Child and Family Focus (28 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0200X Yes

Addresses

Primary practice location

6800 Saint Peters LN
Matthews, NC 28105-8458

Mailing address

6800 Saint Peters LN
Matthews, NC 28105-8458
Phone (704) 536-0375

Other identifiers

IdentifierTypeStateIssuer
0000 WAITING ON #MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2017.

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1992943898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SAINT PETERS LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SAINT PETERS LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058458",
            "telephone_number": "704-536-0375",
            "fax_number": "704-531-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON CHILD AND FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "PORRAS KANTROWITZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "704-536-0375"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000 WAITING ON #",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

All providers in Matthews, NC · Pediatric Registered Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.