Healthcare Provider Details

I. General information

NPI: 1740149079
Provider Name (Legal Business Name): ROCKY HILL WELLNESS MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 E PINE ST
EXETER CA
93221-1750
US

IV. Provider business mailing address

216 E PINE ST
EXETER CA
93221-1750
US

V. Phone/Fax

Practice location:
  • Phone: 559-772-2983
  • Fax: 559-537-0327
Mailing address:
  • Phone: 559-257-2501
  • Fax: 559-537-0327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: LUCIA THOMPSON
Title or Position: OWNER
Credential: FNP
Phone: 559-772-2983