KELLY R THOMPSON (NPI# 1073794533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073794533 |
| Entity Type | Individual |
| Full Name | KELLY R THOMPSON |
| Credential | N.P. |
| Practice Address |
705 Dixie St Carrollton GA 30117-3818 |
| Mailing Address |
119 Ambulance Dr Ste 202 Carrollton GA 30117-3857 |
| Practice Telephone | 7708369666 |
| Practice Fax Number | 7708368922 |
| Mailing Telephone | 7708388824 |
| Mailing Fax Number | 7708388922 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN134604 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326681479 | Kelly Thompson | Art Therapist | 534 E Green Bay Ave, Saukville, WI 53080-2012 | 2019-10-22 |
| 1083177034 | Kelly Marie Thompson | Occupational Therapist | 401 S Gallaher View Rd Apt 210, Knoxville, TN 37919-5334 | 2019-04-08 |
| 1164822722 | Kelly Ann Thompson | Dentist | 2700 E Bridge St Ste 101, Brighton, CO 80601-2561 | 2014-09-01 |
| 1700201829 | Kelly D Thompson | Physician Assistant | 2296 Opitz Blvd Ste 230, Woodbridge, VA 22191-3345 | 2014-02-26 |
| 1689849242 | Kelly J Thompson | Driver | 1473 South St, Fowler, IL 62338-2362 | 2008-04-24 |
| 1306022041 | Kelly Elizabeth Thompson | Occupational Therapist | Department of Physical and Occupational Therapy, Mail Stop 8045, Pocatello, ID 83209-0001 | 2008-01-11 |
| 1790960565 | Kelly Jo Thompson | Registered Nurse | 8653 Sweetwater Ct, Powell, OH 43065-8364 | 2007-12-29 |
| 1750588349 | Kelly Colleen Thompson | Registered Nurse | 14004 Silver Firs Dr, Everett, WA 98208-9305 | 2007-06-28 |
| 1992840417 | Kelly Lynn Thompson | Social Worker | 6007 Folsom Blvd # 200, Sacramento, CA 95819-4613 | 2007-02-21 |
| 1801968151 | Kelly Starr Thompson | Occupational Therapist | 1306 Westshore Dr, Houston, TX 77094-3315 | 2006-11-14 |
| Street Address |
705 DIXIE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848799 | Lawrence Brett Carter | Pharmacist | 705 Dixie St, Carrollton, GA 30117-3818 | 2005-08-22 |
| 1760007322 | Crystal Renee Grayson | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-06-10 |
| 1962025361 | Amanda Hasty Mcentyre | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1265055669 | Purdy Jackson | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1528681921 | Amanda Phillips Kranz | Dietitian, Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-05-20 |
| 1699396630 | Katherine Victoria White | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2020-04-30 |
| 1144866047 | Jennifer Tiffany Jiles | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-11-26 |
| 1750934733 | Tiffany Landry | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104479195 | Kim Rowell | Health Educator | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-19 |
| 1104478916 | Brandon Gabe Graves | Nurse Anesthetist, Certified Registered | 705 Dixie St, Carrollton, GA 30117-3818 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073002960 | Micah Deshaun Martin | Nurse Practitioner | 1420 Valwood Pkwy Ste 170, Carrollton, TX 75006-8312 | 2018-05-07 |
| 1053821942 | Shova Gurung | Nurse Practitioner | 3829 Westminster Dr, Carrollton, TX 75007-2628 | 2017-10-04 |
| 1366452617 | Diana L. Dally | Nurse Practitioner | 1020 Trump Rd, Carrollton, OH 44615 | 2006-08-09 |
| 1831750926 | Kelli Strickland | Nurse Practitioner | 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 | 2019-06-28 |
| 1487153839 | Lauren Holcombe | Nurse Practitioner | 100 Professional Pl Ste 204, Carrollton, GA 30117 | 2018-02-12 |
| 1881149102 | Shelley Smith | Nurse Practitioner | 129 Bankhead Hwy, Carrollton, GA 30117-3425 | 2016-08-16 |
| 1952854572 | Hannah Pollard | Nurse Practitioner | 100 Professional Pl, #202, Carrollton, GA 30117-3874 | 2016-07-31 |
| 1285187161 | Kerri Coduti | Nurse Practitioner | 3730 N Josey Ln, #104, Carrollton, TX 75007-2484 | 2016-07-27 |
| 1306293923 | Sequoise Givens | Nurse Practitioner | 2459 E Hebron Pkwy, Carrollton, TX 75010-4482 | 2016-05-24 |
| 1184084600 | Kelly Forrest | Nurse Practitioner | 705 Dixie St, Carrollton, GA 30117-3818 | 2016-02-25 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on KELLY R 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.