KELLI SUE THOMPSON


Address: 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040
Phone: 4805638009

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TX 356798401 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3800 S W S Young Dr, Suite 201, Killeen, TX 765423311 2542459175 2542137771

Other Providers KELLI THOMPSON

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

Office Location

Street Address 18555 N 79TH AVE STE D101
City GLENDALE
State AZ
Zip Code 85308-6040

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City GLENDALE
Zip Code 85308

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Dataset Information

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.

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