MRS. PAULETTE PURDY THOMPSON (NPI# 1558679324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558679324 |
| Entity Type | Individual |
| Full Name | MRS. PAULETTE PURDY THOMPSON |
| Practice Address |
1823 Longwood Key Dr N Jacksonville FL 32218-3474 |
| Practice Telephone | 9047579173 |
| Practice Fax Number | 9047574264 |
| Mailing Telephone | 9047579173 |
| Mailing Fax Number | 9047574264 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 693572901 | 05 | |
| FL | 693572996 | 05 | |
| FL | 693572902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689876997 | Paulette J. Thompson | Dietitian, Registered | 3117 Belleview Ave, Cheverly, MD 20785-1212 | 2007-05-31 |
| 1174592299 | Paulette Jenkins Thompson | Family Medicine | 4175 E Bay Dr, Clearwater, FL 33764-6985 | 2006-03-14 |
| 1831398379 | Paulette Levy Thompson | Social Worker | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-07-14 |
| 1720178171 | Paulette Reveiz Thompson | Physical Therapist | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2006-10-14 |
| 1134177017 | Paulette Thompson | Dietitian, Registered | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2006-05-04 |
| Street Address |
1823 LONGWOOD KEY DR N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730739889 | Jill Johnson | Technician | 718 Perryman Ln W, Jacksonville, FL 32221-1543 | 2019-09-19 |
| 1154971471 | Laura Cowan | Technician | 1613 Spring Branch Dr E, Jacksonville, FL 32221-7618 | 2019-09-18 |
| 1457901993 | Edith Corbett | Technician | 3688 Timucua Trl, Jacksonville, FL 32277-2250 | 2019-09-17 |
| 1689224180 | Patricia J Baker | Technician | 1905 Chaffee Rd S, Jacksonville, FL 32221-1861 | 2019-09-17 |
| 1588214092 | Gloria Jean Brewer | Technician | 1242 Spring Creek Ct, Jacksonville, FL 32218-8050 | 2019-09-17 |
| 1174173637 | Nichele Blakney | Technician | 10182 Carriage House Court, Jacksonville, FL 32221 | 2019-09-17 |
| 1336798941 | Nicole Blevins | Technician | 2539 Stern Dr S, Jacksonville, FL 32233-2916 | 2019-09-06 |
| 1033767231 | Carol Lynn Holder | Technician | 1070 County Road 4101, Jacksonville, TX 75766-0512 | 2019-08-30 |
| 1336796630 | Joyce Valadie Miller | Technician | 131 County Road 1432, Jacksonville, TX 75766-9001 | 2019-08-21 |
| 1073062501 | Veronica Coleman | Technician | 5714 Fort Caroline Rd, Jacksonville, FL 32277-1753 | 2016-09-26 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on MRS. PAULETTE PURDY THOMPSON.
| 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.