MS. KATHLEEN J. THOMPSON (NPI# 1629004619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629004619 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN J. THOMPSON |
| Credential | PA-C |
| Practice Address |
624 S J St Lakeview OR 97630-1680 |
| Mailing Address |
700 S J St Lakeview OR 97630-1623 |
| Practice Telephone | 5419473366 |
| Practice Fax Number | 5419474404 |
| Mailing Telephone | 5419473366 |
| Mailing Fax Number | 5419474407 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00742 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336686849 | Kathleen E Thompson | Counselor | 833 Sw 11th Ave Ste 509, Portland, OR 97205-2119 | 2017-01-22 |
| 1053853382 | Kathleen Thompson | Community Health Worker | 70 Goddard St, Cumberland, RI 02864-7251 | 2016-11-17 |
| 1093050536 | Kathleen Marie Thompson | Massage Therapist | 5826 N Sheldon Rd, Canton, MI 48187-3153 | 2012-12-11 |
| 1407142888 | Kathleen Thompson | Nurse Practitioner | 1650 Calvert Cliffs Pkwy, Lusby, MD 20657-4700 | 2011-06-23 |
| 1669539953 | Kathleen Blake Thompson | Counselor | 294 Coe Ave, East Haven, CT 06512-4106 | 2007-01-03 |
| 1457996746 | Kathleen Rene Thompson | Nurse Practitioner | 590 Court Street, Family Medicine, Keene, NH 03431 | 2019-11-11 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1528557857 | Kathleen Thompson | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2018-05-02 |
| 1811367188 | Kathleen Gail Thompson | Nurse Practitioner | 324 Elm St, Suite 2028, Monroe, CT 06468-2280 | 2015-09-30 |
| 1538545215 | Kathleen Thompson | Psychologist | 1010 E 10th St, Tucson, AZ 85719-5813 | 2015-08-05 |
| Street Address |
624 S J ST |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922085604 | Lake County Medical Clinic, P.C. | Family Medicine | 624 S J St, Lakeview, OR 97630-1680 | 2005-12-23 |
| 1154392454 | Robert W Bomengen | Family Medicine | 624 S J St, Lakeview, OR 97630-1680 | 2006-01-27 |
| 1801873591 | Spencer A. Clarke | Family Medicine | 624 S J St, Lakeview, OR 97630-1680 | 2005-12-23 |
| 1881671576 | Stephen A Hussey | Family Medicine | 624 S J St, Lakeview, OR 97630-1680 | 2005-12-23 |
| 1952388647 | Timothy A Gallagher | Family Medicine | 624 S J St, Lakeview, OR 97630-1680 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831105618 | Health Visions Quest, Inc. | Physician Assistant | 332 S Lincoln Street, Lakeview, MI 48850 | 2006-07-31 |
| 1891714879 | Robert Nixon Huttinga | Physician Assistant | 332 S. Lincoln, Lakeview, MI 48850 | 2006-07-19 |
| 1679023964 | Sarah Rose Vanderhoof | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2016-10-11 |
| 1033591805 | Brooke Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2015-06-29 |
| 1245630698 | Lora Rose Hansen | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2014-09-03 |
| 1821428442 | Erin Danielle Steward | Physician Assistant | 700 S J St, Lakeview, OR 97630-1623 | 2013-11-18 |
| 1396024832 | Michele M Vuillemot | Physician Assistant | 418 Washington St, Lakeview, MI 48850-9806 | 2011-08-16 |
| 1700075181 | Michele Leigh Miles | Physician Assistant | 418 Washington St, Lakeview, MI 48850-7102 | 2007-10-22 |
| 1851513097 | William J Heath | Physician Assistant | 418 Washington Ave, Lakeview, MI 48850-9806 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495569 | Lynsie Wolfe | Physician Assistant | 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 | 2020-10-22 |
| 1548867856 | Megan Elaine Stewart | Physician Assistant | 3773 Pinetop Dr, Medford, OR 97504-9638 | 2020-10-08 |
| 1639786411 | Bridget Meade-sentosun | Physician Assistant | 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 | 2020-09-25 |
| 1518570738 | Samantha Larelle Williamson | Physician Assistant | 1551 2nd St, Umatilla, OR 97882-9707 | 2020-08-27 |
| 1356951891 | Eric James Humphrey | Physician Assistant | 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 | 2020-08-07 |
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1871110361 | Dana Sierra Jackson | Physician Assistant | 370 Ne Garner St, Prineville, OR 97754-2039 | 2020-06-30 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1831712280 | Joshua Sprague | Physician Assistant | 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 | 2020-05-20 |
| 1376165134 | Emily Axelrod | Physician Assistant | 19648 Wildwood Dr, West Linn, OR 97068-2210 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.