MEDICARE: MS. SARAH RACHEL THOMPSON RN

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	1482669	MN

General Provider Information

NPI Number	:	1922957687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH RACHEL THOMPSON RN

Provider Business Mailing Address
First Line	:	2448 INDIAN WAY
Second Line	:
City	:	NORTH SAINT PAUL
State	:	MN
Zip	:	55109-1612
Country	:	US
Telephone Number	:	651-983-3951
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 KENNARD ST STE 200
Second Line	:
City	:	MAPLEWOOD
State	:	MN
Zip	:	55109-5466
Country	:	US
Telephone Number	:	651-225-5430
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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