MITZI B THOMPSON


Address: 2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516
Phone: 5416774463

MITZI B THOMPSON (NPI# 1912987926) 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) 1912987926
Entity Type Individual
Full Name MITZI B THOMPSON
Credential NP
Practice Address 2460 Nw Stewart Parkway
Suite 104
Roseburg
OR 97471-1516
Mailing Address 2460 Nw Stewart Pkwy
Ste 240
Roseburg
OR 97471-1516
Practice Telephone 5416774463
Practice Fax Number 5416773379
Mailing Telephone 5416776111
Mailing Fax Number 5416776140
Enumeration Date 2006-01-18
Last Update Date 2020-02-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN0000055333 TN Nursing Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
201505556NP-PP OR Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
APN 0000005657 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 3905311 05
OR 500695863 05
TN MEDICARE-TENNCARE 3905311 01

Other Providers MITZI THOMPSON

NPI Name Taxonomy Address Enumeration
1891004834 Mitzi Monique Thompson Nurse Practitioner 7540 Cipriano Ct, Suite C, Fairhope, AL 36532-3029 2010-09-24
1780729319 Mitzi R. Thompson Nurse Practitioner The Kidney Center Uva Hospital W, Hospital Drive, 5th Floor, Charlottesville, VA 22908-0001 2007-02-21

Office Location

Street Address 2460 NW STEWART PARKWAY
SUITE 104
City ROSEBURG
State OR
Zip Code 97471-1516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629054085 Luana Ionela Petre Nedita Internal Medicine 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 2005-12-19
1811066822 Faye E Ameredes Obstetrics & Gynecology 2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516 2006-11-06
1154406064 Kimbra Ann Epps Nurse Practitioner 2460 Nw Stewart Parkway, Suite 240, Roseburg, OR 97471 2006-10-26
1033212923 Alpana Chandra Internal Medicine 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 2006-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1023651031 Colton Phillips Behavioral Analyst 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 2019-10-22
1952884876 Meredith Krugel Lcsw PC Clinic/Center 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 2018-09-07
1114456563 Philip Kaser Family, LLC Pharmacy 1175 W. Harvard Avenue, Roseburg, OR 97471 2017-06-08
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1770034589 Evie Jepsen Case Manager/Care Coordinator 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 2016-10-17
1932551256 Jonathan Schmidt Licensed Practical Nurse 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 2016-07-11
1932580586 Jeffrey Mark Wareham Case Manager/Care Coordinator 2700 Medical Loop, Annex B, Roseburg, OR 97471 2015-06-09
1558784215 Ginger Jean Thibedeau Massage Therapist 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 2014-01-30
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
Find all providers in zip 97471

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174571244 Linda Lou Westfall Nurse Practitioner 621 W Madrone St, Suite 223, Roseburg, OR 97470-3090 2006-05-04
1356447924 Jennifer Bzowy Nurse Practitioner 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471-1516 2006-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1093292971 Tracie Lynn Wright Nurse Practitioner 572 Barton Rd, Eagle Point, OR 97524-4405 2018-07-24
1780048124 Degrazia Wellness, LLC Nurse Practitioner 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 2016-04-12
1740650134 Sara Brelsford Nurse Practitioner 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 2015-09-29
1013307685 Christa Elane Degrazia Nurse Practitioner 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 2015-02-03
1699186395 Jennifer Marie Kowalczyk Nurse Practitioner 715 Nw Dimmick St, Grants Pass, OR 97526-1536 2014-05-15
1558782318 Rebecca M Meek Nurse Practitioner 2430 S 6th St, Klamath Falls, OR 97601-4342 2013-12-21
1184055931 Sue Lillian Dixon Nurse Practitioner 715 S.w. 4th St., Ste.c, Madras, OR 97741 2013-12-04
1689004053 Kendra Parkin Nurse Practitioner 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 2013-11-20
1467742205 Jennifer Lynda Roberson Nurse Practitioner 12550 Sw 2nd St, Beaverton, OR 97005-0519 2011-04-13
Find all providers with the same taxonomy

Competitor

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City ROSEBURG
Zip Code 97471

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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