KELLI SUE THOMPSON (NPI# 1124488317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124488317 |
Entity Type | Individual |
Full Name | KELLI SUE THOMPSON |
Other Name | KELLI BEASLEY |
Credential | FNP-C |
Practice Address |
18555 N 79th Ave Ste D101 Glendale AZ 85308-6040 |
Mailing Address |
9977 N 90th St Ste 350 Scottsdale AZ 85258-4434 |
Practice Telephone | 4805638009 |
Practice Fax Number | 4805638009 |
Mailing Telephone | 4802456126 |
Mailing Fax Number | 4805638009 |
Enumeration Date | 2016-03-01 |
Last Update Date | 2018-08-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP11562 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP128449 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 356798401 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3800 S W S Young Dr, Suite 201, Killeen, TX 765423311 | 2542459175 | 2542137771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004667 | Kelli Marie Thompson | Nurse Practitioner | 122 Canal St Ste 104, Pooler, GA 31322-4408 | 2020-05-13 |
1285094979 | Kelli Thompson | Counselor | 203 Woodbine Ave, Poteau, OK 74953-2263 | 2016-02-24 |
1104184910 | Kelli Yvonne Thompson | Adult Companion | 13 4th Ave Se, Aitkin, MN 56431-1715 | 2012-04-30 |
1346484268 | Kelli A Thompson | Speech-Language Pathologist | 5071 Stone Meadow Run, Stow, OH 44224-1377 | 2009-04-22 |
1740807759 | Kelli Michelle Thompson | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551-3245 | 2020-06-26 |
1770086951 | Kelli Jo Thompson | Physical Therapist | 145 Michigan St Ne Ste 4300, Grand Rapids, MI 49503-2564 | 2018-03-14 |
1982130605 | Kelli Anne Thompson | Student in an Organized Health Care Education/Training Program | Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2017-05-02 |
1679933725 | Kelli Jo Thompson | Counselor | 415 S 25th Ave, Omaha, NE 68131-3630 | 2016-03-02 |
1467892067 | Kelli Thompson | Respiratory Therapist, Registered | 200 Renaissance Dr, Butler, PA 16001-7612 | 2013-06-27 |
1770790701 | Kelli Thompson | Counselor | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2007-05-17 |
Street Address |
18555 N 79TH AVE STE D101 |
City | GLENDALE |
State | AZ |
Zip Code | 85308-6040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548675663 | Bashar Khandaker Ahmed | Anesthesiology | 18555 N 79th Ave Ste D101, Glendale, AZ 85308 | 2014-06-26 |
1386290039 | Skeena Deen | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2019-08-16 |
1336621754 | Frank A Bartucci II | Physician Assistant | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2018-09-01 |
1932633286 | Jessica Ray | Nurse Practitioner | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2017-04-13 |
1568849990 | Brandon Ian Roth | Pain Medicine | 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 | 2015-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
Find all providers in zip 85308 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724737 | Stephanie Janice Blanks | Nurse Practitioner | 500 N Central Ave Ste 900, Glendale, CA 91203-3346 | 2020-09-10 |
1992341234 | Kiran Latif | Nurse Practitioner | 1133 Justin Ave Apt 210, Glendale, CA 91201-1825 | 2019-11-21 |
1225597727 | Sara Dyane Diaz- Ingram | Nurse Practitioner | 6702 W Bethany Home Rd Ste 14, Glendale, AZ 85303-4402 | 2019-03-14 |
1184198442 | Vitality Medical Center Inc | Nurse Practitioner | 1648 W Glenoaks Blvd # 101, Glendale, CA 91201-1827 | 2019-01-18 |
1952870628 | Svetlana Serebryanaya | Nurse Practitioner | 6007 W Potter Dr, Glendale, AZ 85308-6731 | 2018-11-24 |
1548765225 | Noralie Pizarro Raudszus | Nurse Practitioner | 1505 Wilson Ter Ste 155, Glendale, CA 91206-4032 | 2018-03-26 |
1255836904 | Shakeh Haghnazarian | Nurse Practitioner | 1163 Winchester Ave Apt 6, Glendale, CA 91201-1828 | 2018-03-26 |
1093261448 | Marina Podlubnaya | Nurse Practitioner | 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 | 2016-08-26 |
1760819866 | Desiree Maducdoc | Nurse Practitioner | 1137 N Central Ave Apt 1524, Glendale, CA 91202-3683 | 2013-10-03 |
1578874350 | Silver Continence Care Ca, Nursing PC | Nurse Practitioner | 1010 N Central Ave, Glendale, CA 91202-2937 | 2010-06-28 |
Find all providers in GLENDALE |
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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.