MEDICARE: MRS. ALISHA MARIA THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist		NJ
2	163W00000X	Registered Nurse	965604	NY
3	251E00000X	Home Health Agency
4	363L00000X	Nurse Practitioner	A164584	IA
5	171M00000X	Case Manager/Care Coordinator		NY
6	164W00000X	Licensed Practical Nurse	55818	SC
7	164W00000X	Licensed Practical Nurse	291636	NY
8	101YP1600X	Pastoral Counselor
9	374J00000X	Doula
10	343900000X	Non-emergency Medical Transport (VAN)		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093056400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISHA MARIA THOMPSON

Provider Business Mailing Address
First Line	:	254 CLINTON AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-1608
Country	:	US
Telephone Number	:	917-830-5239
Fax Number	:

Provider Business Practice Location Address
First Line	:	254 CLINTON AVE APT 2
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07304-1608
Country	:	US
Telephone Number	:	917-830-5239
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2013
Last Update Date	:	04/20/2026

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