FRED MARIL THOMPSON III (NPI# 1245625227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245625227 |
| Entity Type | Individual |
| Full Name | FRED MARIL THOMPSON III |
| Credential | ARNP |
| Practice Address |
100 Whetstone Pl Ste 310 St Augustine FL 32086-5774 |
| Mailing Address |
Po Box 3123 St Augustine FL 32085-3123 |
| Practice Telephone | 9042177450 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9246631 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254772 | Fred Elmo Thompson | Dentist | 1600 Republic Pkwy, Suite 210, Mesquite, TX 75150-6918 | 2007-05-15 |
| 1063579795 | Fred Thompson | Counselor | 1001 Polk St, San Francisco, CA 94109-6915 | 2007-01-02 |
| Street Address |
100 WHETSTONE PL STE 310 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410991 | Bernard R Borbely | Internal Medicine | 100 Whetstone Pl, Suite208, St Augustine, FL 32086-5774 | 2005-07-13 |
| 1518488477 | Richard Edward Culhane | Nurse Practitioner | 100 Whetstone Pl, St Augustine, FL 32086-5774 | 2017-06-30 |
| 1326494527 | Heather Brumbley Conlon | Nurse Practitioner | 100 Whetstone Pl, St Augustine, FL 32086-5774 | 2016-05-06 |
| 1134514573 | Scott D Mcdowall Pllc | Internal Medicine | 100 Whetstone Pl, Suite 206, St Augustine, FL 32086-5774 | 2015-04-02 |
| 1871981308 | Pain Solutions & Physical Therapy, Inc. | Clinic/Center | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2015-01-06 |
| 1114323631 | Farghaly Medical, Pllc | Family Medicine | 100 Whetstone Pl, Suite 208, St Augustine, FL 32086-5774 | 2014-11-11 |
| 1043630353 | Lighthouse Pediatrics Pllc | Pediatrics | 100 Whetstone Pl, Suite 211, St Augustine, FL 32086-5774 | 2014-04-25 |
| 1942624374 | Kimberly Salvato | Nurse Anesthetist, Certified Registered | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2014-02-05 |
| 1205192739 | Anastasia Pediatrics | Pediatrics | 100 Whetstone Pl, Suite 205, St Augustine, FL 32086-5774 | 2012-04-10 |
| 1710259072 | David B. Tuchinsky, D.c., Pllc | Chiropractor | 100 Whetstone Pl, Suite 310, St Augustine, FL 32086-5774 | 2012-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295215531 | Vanessa Rutledge | Nurse Practitioner | 830 Copperhead Cir, St Augustine, FL 32092-2752 | 2018-08-16 |
| 1801394291 | Peter Richard Accorti | Nurse Practitioner | 3657 Gaines Rd, St Augustine, FL 32084-8503 | 2018-01-31 |
| 1033300280 | Allied Medical Professionals Inc | Nurse Practitioner | 121 Fonseca Dr, St Augustine, FL 32086-8867 | 2007-08-05 |
| 1942412481 | Anah Marks | Nurse Practitioner | 301 Health Park Blvd Ste 219, St Augustine, FL 32086-5795 | 2007-05-04 |
| 1255311528 | Judith Lynn Nichols | Nurse Practitioner | 105 Mariner Way, Ste 203, St Augustine, FL 32086 | 2006-01-20 |
| 1336706779 | Shawn Rene Wells | Nurse Practitioner | 120 Palencia Village Dr Ste 107, St Augustine, FL 32095-8553 | 2019-05-21 |
| 1841759255 | Monica Antigua | Nurse Practitioner | 2460 Old Moultrie Rd Ste 5, St Augustine, FL 32086-4198 | 2019-03-15 |
| 1295216414 | Ashley Baldwin Sauls | Nurse Practitioner | 419 Anastasia Blvd, St Augustine, FL 32080-4508 | 2018-08-25 |
| 1780161851 | Christine Moore | Nurse Practitioner | 300 Health Park Blvd Ste 5010, St Augustine, FL 32086-3705 | 2018-07-23 |
| 1710480900 | Christina Ellen Barr | Nurse Practitioner | 1 Saint Johns Medical Park Dr, St Augustine, FL 32086-5300 | 2018-03-14 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
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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.