MEDICARE: MRS. CARRIE ANN THOMPSON NP-C

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	363L00000X	Nurse Practitioner	121147	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00624912	OTHER	CO	RAILROAD MEDICARE

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	:	1578567095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARRIE ANN THOMPSON NP-C

Provider Business Mailing Address
First Line	:	6590 ASHBURN LN
Second Line	:
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130
Country	:	US
Telephone Number	:	303-901-2777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 S DOWNING ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5817
Country	:	US
Telephone Number	:	303-715-7185
Fax Number	:

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	09/14/2017

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