EBONY THOMPSON (NPI# 1083065049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083065049 |
| Entity Type | Individual |
| Full Name | EBONY THOMPSON |
| Credential | NP |
| Practice Address |
1306 N Center St Lonoke AR 72086-2011 |
| Mailing Address |
30 Burton Hills Blvd Ste 175 Nashville TN 37215-6140 |
| Practice Telephone | 5016766560 |
| Practice Fax Number | 5016767166 |
| Mailing Telephone | 6159882014 |
| Mailing Fax Number | 6155230647 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004715 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANCC CERTIFICATION | 2015022062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750824967 | Ebony Thompson | Peer Specialist | 2500 N Palm Canyon Dr, Suite A4, Palm Springs, CA 92262-1868 | 2016-11-21 |
| Street Address |
1306 N CENTER ST |
| City | LONOKE |
| State | AR |
| Zip Code | 72086-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073742979 | Sandra D Mckisson | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2009-07-13 |
| 1639787880 | Kari Williamson | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2020-07-14 |
| 1174157424 | Laura Nicole Stallings | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2020-02-26 |
| 1134651276 | Marketta Roberts | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2017-03-29 |
| 1487080461 | Jennifer Lynne Burkett | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265065064 | Access Medical Clinic Arkansas LLC | Family Medicine | 1010 N Center St, Lonoke, AR 72086 | 2020-02-20 |
| 1952944407 | Shannan Stewart | Counselor | 201 W. 2nd Street, Lonoke, AR 72086 | 2019-10-28 |
| 1134574379 | Kiara Loring | Case Manager/Care Coordinator | 201 W 2nd, Lonoke, AR 72086 | 2016-04-25 |
| 1184091415 | Whitney Reed | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2015-08-21 |
| 1265816672 | Catherine Forney | Case Manager/Care Coordinator | 201 W. Second, Lonoke, AR 72086 | 2015-07-15 |
| 1366865883 | Tiffany Hunter | Case Manager/Care Coordinator | 201 West 2nd St., Lonoke, AR 72086 | 2014-02-04 |
| 1174873723 | Jacob Darrell Johnson | Physical Therapist | 1515 North Center Street, Suite 5, Lonoke, AR 72086 | 2012-09-11 |
| 1154697829 | Joan Lavonne Tackett | Nurse Practitioner | 305 W. Front St.., Sherwood Urgent Care, Lonoke, AR 72086 | 2012-03-28 |
| 1013216035 | Angela Dyan Johnson | Speech-Language Pathologist | 114 Holly St, Lonoke, AR 72086 | 2011-03-16 |
| 1528382496 | Michael Roy Brown | Counselor | 201 W. 2nd, Lonoke, AR 72086 | 2010-03-22 |
| Find all providers in zip 72086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649735101 | Lindsey Smith | Nurse Practitioner | 3 Privett Park Dr, Lonoke, AR 72086-3622 | 2019-02-08 |
| 1184091415 | Whitney Reed | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2015-08-21 |
| 1154697829 | Joan Lavonne Tackett | Nurse Practitioner | 305 W. Front St.., Sherwood Urgent Care, Lonoke, AR 72086 | 2012-03-28 |
| 1639787880 | Kari Williamson | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2020-07-14 |
| 1811401193 | Nathan Gerrell Fawbush | Nurse Practitioner | 130 Jf Blvd, Lonoke, AR 72086 | 2017-11-25 |
| 1134651276 | Marketta Roberts | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2017-03-29 |
| 1487000808 | Kristina Dulaney | Nurse Practitioner | 1310 N Center St, Lonoke, AR 72086-2011 | 2016-05-05 |
| 1467879247 | Miriam Danielle Lawrence | Nurse Practitioner | 305 W Front St, Lonoke, AR 72086-3119 | 2014-03-18 |
| 1487080461 | Jennifer Lynne Burkett | Nurse Practitioner | 1306 N Center St, Lonoke, AR 72086-2011 | 2013-09-23 |
| 1346684594 | J. Elaine Sherrill | Nurse Practitioner | 1310 N Center St, Lonoke, AR 72086-2011 | 2013-04-18 |
| Find all providers in LONOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.