JOHN MYCHAL THOMPSON (NPI# 1174122121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174122121 |
| Entity Type | Individual |
| Full Name | JOHN MYCHAL THOMPSON |
| Credential | MSN, APRN, AGNP-C |
| Practice Address |
1411 Terrace Magnolia AR 71753-2040 |
| Mailing Address |
Po Box 25 Magnolia AR 71754-0025 |
| Practice Telephone | 8705622383 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
212494 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
212494 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251296 | John R Thompson | Private Vehicle | 3926 Troon Dr, Uniontown, OH 44685-8894 | 2020-09-24 |
| 1902435662 | John P Thompson | Student in an Organized Health Care Education/Training Program | 6906 Forest Grv, San Antonio, TX 78240-3320 | 2020-04-05 |
| 1558732966 | John William Thompson | Community Based Residential Treatment Facility, Mental Illness | 5538 Ne 24th Ave, Portland, OR 97211-6206 | 2015-10-12 |
| 1942614532 | John Albert Thompson | Counselor | 231 W 29th St Rm 301, New York, NY 10001-5551 | 2014-06-11 |
| 1477892826 | John S Thompson | Registered Nurse | 1753 Jamaica St, Aurora, CO 80010-2414 | 2013-02-05 |
| 1003176108 | John K Thompson | Specialist/Technologist | 1105 Adelaida Rd, Paso Robles, CA 93446-9775 | 2012-05-22 |
| 1518241249 | John Robert Thompson | Social Worker | 102 S. Mcpherson St, Lansing, MI 48915-1760 | 2011-09-29 |
| 1326366584 | John A. Thompson | Pharmacist | 1409 Highway 35 N, Rockport, TX 78382-3314 | 2010-05-12 |
| 1821220781 | John Richardson Thompson | Pharmacist | 1 University Park Dr # 225d, Lipscomb University College of Pharmacy, Nashville, TN 37204-3956 | 2009-08-11 |
| 1316195753 | John Aaron Thompson | Physical Medicine & Rehabilitation | 6316 S Rainbow Blvd, Suite 100, Las Vegas, NV 89118-3232 | 2008-08-27 |
| Street Address |
1411 TERRACE |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104295492 | Jacqueline F Byrd | Nurse Practitioner | 501 Pasadena Dr, Magnolia, NJ 08049-1631 | 2015-09-17 |
| 1184994188 | Medical House Call Associates | Nurse Practitioner | 536 White Horse Pike, Suite B, Magnolia, NJ 08049 | 2012-01-06 |
| 1508142506 | Ihuoma J Ottih | Nurse Practitioner | 536 N White Horse Pike, Suite B, Magnolia, NJ 08049 | 2011-10-24 |
| 1568822435 | Alexandra Codie Borsboom | Nurse Practitioner | 6912 Fm 1488 Rd Ste A, Magnolia, TX 77354-1527 | 2016-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581873 | Tammy M Palermo | Nurse Practitioner | 210 County Road 1071, Eureka Springs, AR 72632-9480 | 2020-09-04 |
| 1134733611 | Heather Suzanne Brown | Nurse Practitioner | 856 Silverpeak Rd, Sherwood, AR 72120-2366 | 2020-09-02 |
| 1891307054 | Jyrissa Robinson | Nurse Practitioner | 1209 Hideaway Cv, Bryant, AR 72022-5007 | 2020-08-19 |
| 1598308140 | Elizabeth Ann Charles | Nurse Practitioner | 7001 Rogers Ave Fl 6, Fort Smith, AR 72903-4073 | 2019-10-25 |
| 1548802309 | Jazzmon Nicole Trice | Nurse Practitioner | 8400 Highway 386 East, Wrightsville, AR 72183 | 2019-10-14 |
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1104473214 | Rebecca Lopez | Nurse Practitioner | 3305 S 2nd Pl, Rogers, AR 72758-1427 | 2019-08-22 |
| 1457814501 | Charis Health and Wellness Clinic | Nurse Practitioner | 7500 Dollarway Rd Ste 403, White Hall, AR 71602-3083 | 2019-04-06 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| 1043787070 | Amanda Ruth Guise-mcdonough | Nurse Practitioner | 5022 Country Club Blvd, Little Rock, AR 72207-4724 | 2018-10-29 |
| 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.