ELIZABETH EDDINS THOMPSON


Address: 630 N Main St, Williston, FL 32696-1705
Phone: 3525280587

ELIZABETH EDDINS THOMPSON (NPI# 1720313950) 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) 1720313950
Entity Type Individual
Full Name ELIZABETH EDDINS THOMPSON
Other Name ELIZABETH ASTRID EDDINS
Credential ARNP
Practice Address 630 N Main St
Williston
FL 32696-1705
Mailing Address 911 S Main St
Trenton
FL 32693-3239
Practice Telephone 3525280587
Practice Fax Number 3525284834
Mailing Telephone 3524632374
Mailing Fax Number 3524632726
Enumeration Date 2009-10-06
Last Update Date 2011-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9251565 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 001487600 05
FL STATE LICENSE ARNP9251565 01
FL BCBSFL 62987 01

Other Providers ELIZABETH THOMPSON

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Office Location

Street Address 630 N MAIN ST
City WILLISTON
State FL
Zip Code 32696-1705

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902879158 Stephen S Falkowski Family Medicine 630 N Main St, Williston, FL 32696-1705 2006-02-08
1437780764 Chantal Marie Nichols Family Medicine 630 N Main St, Williston, FL 32696-1705 2020-01-27
1174181333 Tonya L Jones Nurse Practitioner 630 N Main St, Williston, FL 32696-1705 2019-06-03
1730619594 Catherine Alexandra Koubek Dentist 630 N Main St, Williston, FL 32696-1705 2017-06-14
1396280103 Shonverea S Robinson Registered Nurse 630 N Main St, Williston, FL 32696-1705 2017-01-03
1659620409 Carmen I Tozzo Pa Psychologist 630 N Main St, Williston, FL 32696-1705 2012-09-06
1508154956 Tamara Michelle Wood Physician Assistant 630 N Main St, Williston, FL 32696-1705 2011-07-19
1255577631 Trenton Medical Center Inc Clinic/Center 630 N Main St, Williston, FL 32696-1705 2009-01-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962060939 Quick Care Med LLC Non-Pharmacy Dispensing Site 517 W Noble Ave, Williston, FL 32696 2019-06-04
1346770930 Michelle Yvette Dempsey Home Health Aide 931 Ne 207th Ave, Williston, FL 32696 2017-06-15
1801157185 Pratibha Lumb Family Medicine 630 N. Main Street, Williston, FL 32696 2012-06-04
1821261306 Raymond T Webber Dentist 610 Sw 1st Ave, Williston, FL 32696 2008-04-07
1003912635 Jeremie Joseph Young General Practice 125 Sw 7th Street, Williston, FL 32696 2006-09-14
1073514543 Kolli Prabhakara Reddy Family Medicine 520 Sw 5th Ave, Williston, FL 32696 2005-08-09
1578584884 Winn Dixie Stores Inc Durable Medical Equipment & Medical Supplies 727 W Noble Ave, Williston, FL 32696-1515 2006-07-21
1841631249 Lawrence C Rush Jr. Pharmacist 727 W Noble Ave, Williston, FL 32696-1515 2013-07-13
1952401648 Teresa Sever Pharmacist 727 W Noble Ave, Williston, FL 32696-1515 2006-09-23
1497060784 Priscilla Smith Social Worker 18990 Ne 49th St, Williston, FL 32696-1555 2010-08-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740747047 Camilla Dawn Pace Nurse Practitioner 37 S Main St Ste A, Williston, FL 32696-2681 2019-02-23
1417277500 Tara Blue Meyer Nurse Practitioner 353 Blair Pk. Rd., Uvm Medical Center - PCim/williston, Williston, VT 05495 2010-06-11
1881656361 Rita Laverne Long Arrington Nurse Practitioner 130 Sw 7th Street, Williston, FL 32696-2404 2006-04-03
1487251930 Elizabeth Coulson Nurse Practitioner 1301 15th Ave W, Williston, ND 58801-3821 2020-10-07
1740822584 Anna Elizabeth Wolf Nurse Practitioner 1301 15th Ave W, Williston, ND 58801-3821 2019-10-14
1174181333 Tonya L Jones Nurse Practitioner 630 N Main St, Williston, FL 32696-1705 2019-06-03
1831685767 Mirsada Nurkanovic Nurse Practitioner 586 Oak Hill Rd, Williston, VT 05495-7103 2018-07-03
1093219685 Nana Oforiwaa Boateng Nurse Practitioner 1301 15th Ave W, Williston, ND 58801-3821 2018-03-20
1831606326 Lily Stolberg Nurse Practitioner 586 Oak Hill Rd, Williston, VT 05495-7103 2018-01-05
1669901591 Tiah Elizabeth Rigby Nurse Practitioner 1301 15th Ave W, Williston, ND 58801-3821 2017-06-05
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Competitor

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City WILLISTON
Zip Code 32696

Improve Information

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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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