ANDREA L THOMPSON (NPI# 1447640578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447640578 |
| Entity Type | Individual |
| Full Name | ANDREA L THOMPSON |
| Other Name | ANDREA L SIMMONS |
| Credential | APRN |
| Practice Address |
5575 Kietzke Ln Reno NV 89511-2290 |
| Mailing Address |
2345 E Prater Way Ste 207 Sparks NV 89434-9634 |
| Practice Telephone | 7758511505 |
| Practice Fax Number | 7758511583 |
| Mailing Telephone | 7758511505 |
| Mailing Fax Number | 7758511583 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN002402 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1447640578 | 05 | |
| CAQH | 13506348 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3641 Gs Richards Blvd, Carson City, NV 897038458 | 7759825000 | 7759823900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174154066 | Andrea N Thompson | Social Worker | 519 West St, Camden, NJ 08103-3522 | 2020-01-29 |
| 1952942120 | Andrea Thompson | Case Manager/Care Coordinator | 150 Staring Ln # A, Baton Rouge, LA 70810-4061 | 2019-09-30 |
| 1346717881 | Andrea Jean Thompson | Nurse Practitioner | 600 N Peach St, Bunnell, FL 32110-5988 | 2018-11-01 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1033649736 | Andrea Lyn Thompson | Specialist/Technologist | 6238 Brian Cir, Riverside, CA 92509-6104 | 2017-06-14 |
| 1730624917 | Andrea Thompson | Registered Nurse | 7101 Miranda Dr, Anchorage, AK 99507-5107 | 2016-12-27 |
| 1841242468 | Andrea Faith Thompson | Massage Therapist | 12153 Se Oatfield Rd, Milwaukie, OR 97222-6950 | 2006-05-16 |
| 1275522203 | Andrea H Thompson | Family Medicine | 745 S Progress Ave, Meridian, ID 83642-5619 | 2005-10-21 |
| 1508861865 | Andrea L Thompson | Physician Assistant | 1444 E Stearns St Ste 11, Fayetteville, AR 72703-6243 | 2005-06-14 |
| 1013518489 | Andrea Lynn Thompson | Pharmacist | 1100 S 1st St, Madill, OK 73446-3900 | 2020-11-03 |
| Street Address |
5575 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-2290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826282 | Christopher B Mathis | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2006-01-25 |
| 1184232951 | Jocelyn Allen | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2020-07-17 |
| 1528676426 | Kaylie M Humphreys | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2020-07-16 |
| 1285013722 | Leslie Peek | Nurse Practitioner | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2015-05-28 |
| 1326337437 | Jeremy C. Bearfield | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2011-03-30 |
| 1598907453 | Michael P. O'brien | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2009-03-24 |
| 1366460347 | John M Watson | Internal Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556705 | Malina Josephine Ruiz | Nurse Practitioner | 1500 E 2nd St Ste 400p1, Reno, NV 89502-1262 | 2020-10-19 |
| 1902410830 | Christina Ann Krainbrink | Nurse Practitioner | 2094 Long Meadow Dr, Reno, NV 89521-4506 | 2020-09-08 |
| 1598382244 | Kathy Goldsworthy | Nurse Practitioner | 2211 Enterprise Rd, Reno, NV 89521-7438 | 2020-06-29 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1659834091 | Janet Choi | Nurse Practitioner | 6629 S Virginia St, Reno, NV 89511-1168 | 2019-04-11 |
| 1295218691 | Thrive Enterprises LLC | Nurse Practitioner | 7111 S Virginia St Ste A12, Reno, NV 89511-1135 | 2018-09-11 |
| 1932688280 | Gerald Justin Enox | Nurse Practitioner | 370 Bible Camp Rd, Reno, TX 75462 | 2018-08-08 |
| 1750860995 | Darci Page | Nurse Practitioner | 500 Damonte Ranch Pkwy Ste 703, Reno, NV 89521-3911 | 2018-08-08 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| Find all providers in RENO | ||||
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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.