MR. EDDIE VAN THOMPSON (NPI# 1053423624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053423624 |
| Entity Type | Individual |
| Full Name | MR. EDDIE VAN THOMPSON |
| Credential | RN |
| Practice Address |
1030 Jefferson Ave Memphis TN 38104-2127 |
| Mailing Address |
1412 Peabody Ave Memphis TN 38104-3636 |
| Practice Telephone | 9015238990 |
| Practice Fax Number | 9015777240 |
| Mailing Telephone | 9015238990 |
| Mailing Fax Number | 9015777240 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN0000093802 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760951206 | Eddie Thompson | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-11-14 |
| 1659563898 | Eddie Daryl Thompson II | Counselor | 3176 Abbott Rd, Acas, Orchard Park, NY 14127-1069 | 2007-08-13 |
| 1073721866 | Eddie M. Thompson | Dentist | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2007-05-18 |
| Street Address |
1030 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697025 | Katherine Denton Sanford | Optometrist | 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 | 2005-08-24 |
| 1528667938 | Mckenzie Bahl | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-19 |
| 1427656834 | Phillip David Resuggan | Music Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2193 | 2020-10-16 |
| 1962009159 | Rachel Diann Roberts | Nurse Anesthetist, Certified Registered | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-01 |
| 1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
| 1942828892 | Brady Cole | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-08 |
| 1457978595 | Mariko Thel | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-05 |
| 1215554910 | Weston Paul Keen | Pharmacy | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-29 |
| 1225655236 | Rebecca Fong | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-26 |
| 1225653660 | Brandy Hollums | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871991141 | Tina Davidson | Registered Nurse | 2540 Van Eaton Ln, Memphis, TN 38133-5147 | 2014-12-18 |
| 1801323399 | Kelly Jean Vrettos | Registered Nurse | 2245 S Lauderdale St, Memphis, TN 38106-7517 | 2017-05-16 |
| 1326374281 | Diana Carolyn Hunt | Registered Nurse | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754004 | Jonathan George Jackson | Registered Nurse | 120 Stockton Rd, Chuckey, TN 37641-5900 | 2012-06-13 |
| 1629337423 | Elizabeth Ellen Larkins | Registered Nurse | Ward C2 Bldg 200, James H. Quillen Vamc, Mountain Home, TN 37684 | 2012-05-14 |
| 1942574405 | Christy Nichols Johnson | Registered Nurse | 1500 E Holston Ave, Johnson City, TN 37601-2736 | 2012-03-01 |
| 1801082623 | Carrie Rhoad | Registered Nurse | 2181 Fiesta Dr, Cookeville, TN 38501-4449 | 2007-09-16 |
| 1407049240 | Glenda M Feild | Registered Nurse | 430 Whitehall Ct, Eads, TN 38028-3300 | 2007-08-24 |
| 1679771554 | Andrea Lynn Wynn | Registered Nurse | 1801 S Holtzclaw Ave, Chattanooga, TN 37404-4806 | 2007-07-03 |
| 1053524215 | Rebecca Joan Osborne | Registered Nurse | 1319 Sunset Dr Ste 201, Johnson City, TN 37604-7900 | 2007-05-07 |
| 1932320785 | Martha J Rebman | Registered Nurse | 809 Sylvania Dr, Nashville, TN 37207-1314 | 2007-05-01 |
| 1982215430 | Isaac Matthew Shepard Weaver | Registered Nurse | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-08-10 |
| 1447877485 | Lorianne Marsh | Registered Nurse | 1035 14th Ave N, Nashville, TN 37208-3050 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.