MS. VERDIE LEE THOMPSON


Address: 2908 Ellsworth St, Berkeley, CA 94705-1912
Phone: 5108436194

MS. VERDIE LEE THOMPSON (NPI# 1144575754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144575754
Entity Type Individual
Full Name MS. VERDIE LEE THOMPSON
Credential RN, PHN, MSN, PNP
Practice Address 2908 Ellsworth St
Berkeley
CA 94705-1912
Mailing Address 1103 12th St
Oakland
CA 94607-2709
Practice Telephone 5108436194
Practice Fax Number 5108436297
Mailing Telephone 5106523300
Mailing Fax Number 5106527720
Enumeration Date 2012-07-19
Last Update Date 2012-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
2394 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2908 ELLSWORTH ST
City BERKELEY
State CA
Zip Code 94705-1912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356374045 Bay Area Consortium for Quality Health Care Clinic/Center 2908 Ellsworth St, Berkeley, CA 94705-1912 2006-07-08
1104199546 Norma M. Lampley Nurse Practitioner 2908 Ellsworth St, Berkeley, CA 94705-1912 2012-02-15
1205107380 Berkeley Health Center (for Women and Men) Clinic/Center 2908 Ellsworth St, Berkeley, CA 94705-1912 2012-01-20
1013104280 Carolyn Rowe Registered Nurse 2908 Ellsworth St, Berkeley, CA 94705-1912 2007-10-01

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1821504432 Allegra Tringali Physical Therapist 2450 Ashby Ave Fl 6, Berkeley, CA 94705 2017-12-19
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1144580960 Benjamin Tucker Counselor 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 2012-05-26
1881966141 Jennifer Cowherd Behavioral Analyst 2201 Woolsey St, Berkeley, CA 94705 2012-02-02
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1841665635 Erin Shuster Nurse Practitioner 1178 San Pablo Ave, Berkeley, CA 94706-2245 2015-12-06
1528440807 Omnia Salem Nurse Practitioner 6121 N Hanley Rd, Berkeley, MO 63134-2003 2015-06-23
1386089449 Kathleen Sarah O'hearn Nurse Practitioner 1744 Alcatraz Ave, Berkeley, CA 94703-2713 2013-05-02
1336466226 Kun Lu Nurse Practitioner 1744 Alcatraz Ave, Berkeley, CA 94703-2713 2010-04-30
1144305970 Carolyn Ann Conlin Nurse Practitioner 1178 San Pablo Ave, Berkeley, CA 94706-2245 2006-10-27
1033224472 Mary G Fitzgerald Nurse Practitioner 6121 N Hanley Rd, Berkeley, MO 63134-2003 2006-08-19

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NPI Name Taxonomy Address Enumeration
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1851990832 Casey Domine Nurse Practitioner 1750 10th St., Apt. A, Oakland, CA 94607 2020-10-21
1184221798 Larae Jean Hansen Nurse Practitioner 7805 Redondo St, Ventura, CA 93004-3814 2020-10-06
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Competitor

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City BERKELEY
Zip Code 94705

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Dataset Information

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.

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