MARY ELLEN THOMPSON (NPI# 1902273261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902273261 |
| Entity Type | Individual |
| Full Name | MARY ELLEN THOMPSON |
| Credential | NNP-BC |
| Practice Address |
1120 15th St Augusta GA 30912-0004 |
| Practice Telephone | 7067212286 |
| Mailing Telephone | 7067212286 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN214814 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885021 | Mary Margaret Thompson | Nurse Practitioner | 4301 College Dr Rm 700, Vernon, TX 76384-3166 | 2020-09-11 |
| 1730602277 | Mary Lillian Thompson | Physical Therapist | 7601 Imperial Hwy # Hb223, Downey, CA 90242-3456 | 2017-07-17 |
| 1821537218 | Mary Thompson | Behavioral Analyst | 82 Baltic Rd, North Franklin, CT 06254-1402 | 2017-02-17 |
| 1477090819 | Mary Kaitlin Thompson | Occupational Therapist | 501 Date Ave, Sultan, WA 98294 | 2017-01-24 |
| 1265800171 | Mary B Thompson | Marriage & Family Therapist | 521 Uptown Sq, Murfreesboro, TN 37129-0589 | 2015-09-09 |
| 1649510140 | Mary Catherine Thompson | Social Worker | 817 Clay St, Raleigh, NC 27605-1422 | 2013-02-20 |
| 1740525922 | Mary Guyton Thompson | Physical Therapy Assistant | 2350 Len Cir Nw, Hartselle, AL 35640-7769 | 2012-11-29 |
| 1679736532 | Mary Ellen Thompson | Technician/Technologist | 2531 West End Ave, Nashville, TN 37203-1423 | 2008-07-09 |
| 1396925061 | Mary E Thompson | Occupational Therapy Assistant | Northhampton Manor, 1020 16th St, Fredrick, MD 21701 | 2007-11-09 |
| 1184803868 | Mary Arline Thompson | Occupational Therapist | 38 W Dooley Ln, Belgrade, MT 59714-7244 | 2007-10-30 |
| Street Address |
1120 15TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30912-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051556 | Gyanendra Kumar Sharma | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2005-05-23 |
| 1912508532 | Lacey Nichol Preston | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-11-02 |
| 1992302988 | Victoria Mae Pregibon | Physician Assistant | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-03 |
| 1275130239 | Tanya Renee Hall | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-10-02 |
| 1144847864 | Cassandra Marie Voong | Internal Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-29 |
| 1245857002 | Morgan Rowe | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-28 |
| 1639795990 | Lauren Christine Bush | Audiologist | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-23 |
| 1811513575 | Ashley Danielle Fox | Internal Medicine | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-18 |
| 1265058994 | Matthew Craddock | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-18 |
| 1437775301 | Joseph John Arellano | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885940 | Hannah Gullickson Folsom | Family Medicine | 1459 Laney Walker Blvd Ae 3042, Augusta, GA 30912 | 2020-06-11 |
| 1487278909 | Robert Kennedy | Internal Medicine | Augusta University Internal Medicine Residency Program, 1120 15th Street, Bi 5070, Augusta, GA 30912 | 2020-06-01 |
| 1952968737 | Kayla M. Lasota | Pediatrics | 11230 115th St Ae3042, Augusta, GA 30912 | 2019-05-28 |
| 1003379280 | Kayla Cox | Internal Medicine | 1120 15th St Bi5070, Augusta, GA 30912 | 2019-04-13 |
| 1619435740 | Justin Ray Mackert | Student in an Organized Health Care Education/Training Program | Augusta University, 1120 15th Street, Gc 5110, Augusta, GA 30912 | 2019-03-07 |
| 1417444167 | Victor Celis | Dentist | John Wesley Gilbert Dr, Augusta, GA 30912 | 2018-04-18 |
| 1487157921 | Julie Ann Matsen | Student in an Organized Health Care Education/Training Program | 997 St. Sebastian Way, Eg-2021-10, Augusta Univ., Dept. of Psychiatry & Health Behavior, Augusta, GA 30912 | 2018-03-12 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1821537622 | Lashawn Kay Boone | Nurse Practitioner | 1445 Harper St, Augusta, GA 30912 | 2017-02-14 |
| 1134675564 | Arnab Saha | Internal Medicine | 1120 15 Th St., Augusta, GA 30912 | 2016-08-26 |
| Find all providers in zip 30912 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1912419151 | Emmie Norville Park | Nurse Practitioner | 1120 15th St # 6033, Augusta, GA 30912-0004 | 2017-10-27 |
| 1306261441 | April Reid Grant | Nurse Practitioner | 1120 15th St, Suite Number Bi6033, Augusta, GA 30912-0004 | 2014-02-26 |
| 1992027205 | Kristi Thomas Norman | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-3715 | 2010-02-28 |
| 1114137619 | Ashley Hardy Bartley | Nurse Practitioner | 1120 15th St, Augusta, GA 30912-0004 | 2007-05-23 |
| 1285786574 | Rhonda L. Holton | Nurse Practitioner | 1350 Walton Way, 3rd Floor, Augusta, GA 30901-2612 | 2007-01-17 |
| 1124062112 | 84pediatrix Medical Group University Hospital Augusta Ga. | Nurse Practitioner | 1350 Walton Way, Augusta, GA 30901-2629 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265944896 | Jennifer Michelle Kerhin | Nurse Practitioner | 777 Hemlock St Fl 3, Macon, GA 31201-2102 | 2017-11-05 |
| 1871034587 | Stephanie Joseph | Nurse Practitioner | 4316 Sublime Trl, Atlanta, GA 30349-8882 | 2017-03-14 |
| 1659810935 | Stephanie Gale Devers | Nurse Practitioner | 52 Johnny Wortham Rd, Newnan, GA 30263-4823 | 2017-02-19 |
| 1851757520 | Dawn Michelle Tripp | Nurse Practitioner | 10141 Flat Shoals Rd Sw, Covington, GA 30014-3707 | 2016-01-11 |
| 1295080414 | Christa Noel Brown | Nurse Practitioner | 142 Bryce Ryan Cir, Kingsland, GA 31548-7812 | 2012-07-14 |
| 1336398726 | Robin Domm Burch | Nurse Practitioner | 1790 Mulkey Rd Ste 10, Newborn Clinics of America LLC At Wellstar Cobb Clinic, Austell, GA 30106-1122 | 2008-09-10 |
| 1073730032 | Diane Arlene Doherty-chandler | Nurse Practitioner | 1191 Arbor Ln, Madison, GA 30650-3791 | 2007-04-19 |
| 1396886370 | Barbara Elaine Smith | Nurse Practitioner | 5335 Spot Creek Dr, Cumming, GA 30040-9554 | 2007-02-10 |
| 1245315118 | Sara Gelson Martin | Nurse Practitioner | 1762 Clifton Rd Ne Ste 103, Emory University, Atlanta, GA 30322-4001 | 2006-10-26 |
| 1861450058 | Paula Lynn Young | Nurse Practitioner | 2701 North Decatur Rd, Dekalb Medical Center, Decatur, GA 30033 | 2006-05-04 |
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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.