TARA RAE THOMPSON APRN NPI 1710226204

NPI Information

NPI: 1710226204
Provider Name: TARA RAE THOMPSON, APRN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1698 E MCANDREWS RD STE 400
MEDFORD, OR
ZIP 97504
Phone: (541) 732-7400
Get Directions

Tara Rae Thompson, APRN is a women's health nurse practitioner in Medford, OR with 12 years of experience. Tara Rae Thompson, APRN NPI is 1710226204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1698 E MCANDREWS RD STE 400
MEDFORD, OR
ZIP 97504-590
Phone: (541) 732-7400
Fax: (541) 732-3410

The NPI 1710226204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2013 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	AP 07195	LOUISIANA	No
2	363LW0102X	Nurse Practitioner	Women's Health	AP61501809	WASHINGTON	No
3	363LW0102X	Nurse Practitioner	Women's Health	10018842APRN-NP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10018842	OTHER	OREGON	OREGON BOARD OF NURSING
2	PA 080109	OTHER	LOUISIANA	LOUISIANA STATE BOARD OF NURSING PRESCRIPTIVE AUTHORITY
3	2337483	MEDICAID	LOUISIANA
4	AP61501809	OTHER	WASHINGTON	WASHINGTON BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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