MS. NICOLETTE LEE THOMPSON (NPI# 1922143445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922143445 |
| Entity Type | Individual |
| Full Name | MS. NICOLETTE LEE THOMPSON |
| Credential | PA-C |
| Practice Address |
589 Nw 11th Street Hermiston OR 97838-6600 |
| Mailing Address |
Po Box 190 Toppenish WA 98948-0190 |
| Practice Telephone | 5415671717 |
| Practice Fax Number | 5415679662 |
| Mailing Telephone | 5415671717 |
| Mailing Fax Number | 5415679662 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00656 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MS1244273 | 01 |
| Street Address |
589 NW 11TH STREET |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| 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 |
|---|---|---|---|---|
| 1700349404 | Chris Dinardo | Physician Assistant | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2019-04-09 |
| 1730668161 | Sarah Dynes | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2018-08-07 |
| 1588100184 | Daniel Leo Doherty Jr. | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2017-01-06 |
| 1336693605 | Tiffany Nickerson | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-08-04 |
| 1326400987 | Randal Jarrell | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2016-03-23 |
| 1619333887 | Sarah Katherine Galvez | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-01-04 |
| 1588924781 | Matthew C Marshall | Physician Assistant | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2012-05-22 |
| 1740547439 | Jason Lee Johnston | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2012-04-18 |
| 1568766251 | Jamie Tigner | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2011-01-10 |
| 1699090407 | Daniel A Brown | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2010-04-05 |
| Find all providers in HERMISTON | ||||
Please comment or provide details below to improve the information on MS. NICOLETTE LEE 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.