MRS. MERVIANNA THOMPSON NURSE PRACTITIONER NPI 1811185333

NPI Information

NPI: 1811185333
Provider Name: MRS. MERVIANNA THOMPSON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

Organization: LA FAMILIA MEDICAL CENTER

PECOS Registration: Yes

Address:
818 CAMINO SIERRA VIS
SANTA FE, NM
ZIP 87505
Phone: (505) 988-1742
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MRS. Mervianna Thompson, NURSE PRACTITIONER is a community health nurse practitioner in Santa Fe, NM with 41 years of experience. MRS. Mervianna Thompson, NURSE PRACTITIONER NPI is 1811185333. 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:

818 CAMINO SIERRA VIS
SANTA FE, NM
ZIP 87505-018
Phone: (505) 988-1742
Fax: (505) 780-8611

The NPI 1811185333 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 10/10/2007 and was last updated on 5/23/2013.

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	363LC1500X	Nurse Practitioner	Community Health	TL02117	NEW MEXICO	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	68971567	MEDICAID	NEW MEXICO
2	TXB106001	OTHER	TEXAS	MEDICARE PTAN

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: 11/14/2023

NPI Synchronization or Removal

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