KATHERINE ANNE THOMPSON (NPI# 1780128983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780128983 |
| Entity Type | Individual |
| Full Name | KATHERINE ANNE THOMPSON |
| Credential | NP-C |
| Practice Address |
3650 Steve Reynolds Boulevard Kaiser Permanente Gwinnett Medical Center Duluth GA 30096 |
| Mailing Address |
3495 Piedmont Rd Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4043650966 |
| Mailing Telephone | 4045045678 |
| Mailing Fax Number | 4043644984 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 258497 | NC | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011825 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN227890 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BOARD OF NURSING | 258497 | 01 |
| NC | BOARD OF NURSING | 5011825 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Erwin Rd, Durham, NC 277054699 | 9196815816 | |
| 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 4043650966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023535531 | Katherine Thompson | Physical Therapist | 14641 Thatcher Ln Ste 17, Carmel, IN 46032-1577 | 2017-08-25 |
| 1538693684 | Katherine Thompson | Counselor | 2512 W Reynolds Ave, Centralia, WA 98531-4556 | 2017-04-15 |
| 1841748829 | Katherine Thompson | Specialist | 3525 Mclean Ave, Fairfax, VA 22030-3007 | 2016-09-19 |
| 1790161925 | Katherine Delena Thompson | Marriage & Family Therapist | 1701 Park Center Dr Ste 240, Orlando, FL 32835-6235 | 2015-08-11 |
| 1801277389 | Katherine M Thompson | Physician Assistant | 924 1/4 Maltman Ave, Los Angeles, CA 90026-6567 | 2015-06-10 |
| 1922100494 | Katherine Sue Thompson | Lodging | 2812 S 124th East Ave, Tulsa, OK 74129-8238 | 2006-09-03 |
| 1710931415 | Katherine H Thompson | Social Worker | 4801 Monticello Road, Columbia, SC 29203 | 2006-05-19 |
| 1477521136 | Katherine C Thompson | Dermatology | 3574 Sunset Blvd, West Columbia, SC 29169-3044 | 2006-03-09 |
| 1255329694 | Katherine H Thompson | Family Medicine | 6300 Richmond Ave, Houston, TX 77057 | 2005-10-10 |
| 1629079264 | Katherine Lee Thompson | Physical Therapist | 6717 E 2nd St, Ste D, Prescott Valley, AZ 86314-2659 | 2005-08-04 |
| Street Address |
3650 STEVE REYNOLDS BOULEVARD KAISER PERMANENTE GWINNETT MEDICAL CENTER |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558751 | Thelma Berry Cummings | Nurse Practitioner | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30086 | 2006-02-22 |
| 1811131428 | La-nikqua Trenae Thomas | Emergency Medicine | 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2009-04-27 |
| 1497932685 | Madhuri P Basavaraju | Pediatrics | 3650 Steve Reynolds Boulevard, Kaiser Permanente Gwinnett Medical Office, Duluth, GA 30096 | 2008-01-30 |
| 1134270721 | Lewin Go Chuachiaco | Internal Medicine | 3650 Steve Reynolds Boulevard, Dept of Int Med Hctc Kaiser Permanente Medical Center A, Duluth, GA 30096 | 2007-01-12 |
| 1811095847 | Fonda A Mitchell | Obstetrics & Gynecology | 3650 Steve Reynolds Boulevard, Department of Obstetrics & Gynecology, Duluth, GA 30096 | 2006-09-21 |
| 1104861970 | Noshin Najafi | Family Medicine | 3650 Steve Reynolds Boulevard, Kp Medical Center At Gwinnett, Duluth, GA 30096 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1174141873 | Akiysha Collins Caine | Nurse Practitioner | 2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002 | 2020-07-09 |
| 1437608684 | Salimah Chagani | Nurse Practitioner | 4855 River Green Pkwy #700, Duluth, GA 30096 | 2016-09-29 |
| 1316495773 | Lifeline Primary Care | Nurse Practitioner | 4855 River Green Pkwy Ste 700, Duluth, GA 30096-8337 | 2016-09-14 |
| 1619329661 | Stephanie Bridges | Nurse Practitioner | 3575 Koger Blvd, Ste 116, Duluth, GA 30096-7559 | 2016-07-01 |
| 1215336664 | Rachel Marie Swor | Nurse Practitioner | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2014-08-21 |
| 1669811410 | Laura Elizabeth Lashley | Nurse Practitioner | 3505 Duluth Park Ln Bldg 4, Duluth, GA 30096-3201 | 2013-06-14 |
| 1851638423 | Candace Jacobs Ginsberg | Nurse Practitioner | 130 N 60th Ave E, Duluth, MN 55804-2549 | 2013-01-15 |
| 1710275128 | Megan Jennie Baertsch | Nurse Practitioner | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2011-07-19 |
| Find all providers in DULUTH | ||||
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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.