VENETTA JOI THOMPSON (NPI# 1912183393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912183393 |
| Entity Type | Individual |
| Full Name | VENETTA JOI THOMPSON |
| Credential | CNP |
| Practice Address |
80b Veterans Blvd I-40, Exit 102 Acoma NM 87034 |
| Mailing Address |
Po Box 130 Attn Acl Provider Enrollment San Fidel NM 87049-0130 |
| Practice Telephone | 5055525300 |
| Practice Fax Number | 5055525828 |
| Mailing Telephone | 5055525300 |
| Mailing Fax Number | 5055525828 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2015-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R121298 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401222 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | H3451 | 05 |
| Street Address |
80B VETERANS BLVD I-40, EXIT 102 |
| City | ACOMA |
| State | NM |
| Zip Code | 87034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421755 | Angela Kao | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2016-07-13 |
| 1043638521 | Xing Yang | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2014-04-02 |
| 1801220074 | Anwyn Pritchard | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2013-08-23 |
| 1457793143 | Nathan Gonzales | Emergency Medical Technician, Paramedic | 80b Veterans Blvd, Acl Ihs, Acoma, NM 87034 | 2013-07-23 |
| 1588949093 | Alexander P Varga | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-10-15 |
| 1821371840 | Brian Tieu | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-26 |
| 1215210703 | Mindy Chou | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-21 |
| 1881976876 | Sophia Yoonjung Park | Pharmacist | 80b Veterans Blvd, Acoma, NM 87034 | 2011-09-15 |
| 1164694808 | Yvonne Lutter | Psychologist | 80b Veterans Blvd, Acoma, NM 87034 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535192 | Troy Stephen Weeldreyer | Social Worker | 45 Pinsbaari Dr, Acoma, NM 87034 | 2020-07-16 |
| 1306486857 | Mallery Chino | Case Manager/Care Coordinator | 47 Pinsbarri Drive, Acoma, NM 87034 | 2020-01-13 |
| 1700340841 | Thomas Simon Vallo | Case Manager/Care Coordinator | 45 Pinbaari Drive, Acoma, NM 87034 | 2019-01-23 |
| 1649777053 | Amanda Jean Garcia | Counselor | 99b Sunrise Rd, Pueblo of Acoma, NM 87034 | 2018-04-11 |
| 1356850754 | Korey B Still | Dentist | 80 B Veterans Blvd., Acoma, NM 87034 | 2017-09-28 |
| 1508395278 | Shelby Bobelu | Social Worker | 45 Pinsbarri Dr., Acoma, NM 87034 | 2017-06-07 |
| 1558817270 | Amanda Lucario | Technician, Other | 1253 Haaku Road, Acoma, NM 87034 | 2016-09-01 |
| 1073961355 | Rhayna Dannielle Walizer | Social Worker | 45 Pinsbarri Dr, Acoma, NM 87034 | 2016-05-27 |
| 1417305715 | Everett Chavez | Counselor | 45 Pinsbaari, Acoma, NM 87034 | 2016-05-26 |
| 1952758047 | Lonnie Lewis | Counselor | 33 Pinsbaari Drive, Acoma, NM 87034 | 2016-05-18 |
| Find all providers in zip 87034 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323284 | Amy Elise Lopez | Nurse Practitioner | 4402 Superstition Dr, Las Cruces, NM 88011 | 2016-05-12 |
| 1841662095 | Barbara Lynn Edmunds-kimrey | Nurse Practitioner | 8801 Horizon Blvd., Suite 260, United Health Care- Optum, Albuquerque, NM 87109 | 2015-10-28 |
| 1518341759 | Karen Elizabeth Kirst-millspaugh | Nurse Practitioner | 209 E. Allen Ayers Rd., Estancia, NM 87016 | 2015-07-17 |
| 1336542992 | Fusion Health & Wellness | Nurse Practitioner | 2402 W Pierce St Ste 6g, Ste 6g, Carlsbad, NM 88220-3566 | 2014-09-26 |
| 1609129691 | Wayne Bryan Chowaniec | Nurse Practitioner | Unm Cancer Center Msc07 4025 1201 Camino De, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-16 |
| 1972853349 | Carla Rae Kychik | Nurse Practitioner | 163 Brannon, Tijeras, NM 87059 | 2012-09-13 |
| 1912208323 | Lisa Marie Meyer | Nurse Practitioner | 2539 Medical Drive, Suite 107, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 | 2010-11-16 |
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1548439060 | Lynn Engler | Nurse Practitioner | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-02-28 |
| 1720269178 | Jodi A. Dettman | Nurse Practitioner | 104 Quail Trl Unit B, Edgewood, NM 87015-7185 | 2007-11-14 |
| 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.