Healthcare Provider Details

I. General information

NPI: 1629988068
Provider Name (Legal Business Name): NAKISH OKIMA THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2943 OXFORD WAY APT 102
CLAREMONT NC
28610-9813
US

IV. Provider business mailing address

2943 OXFORD WAY APT 102
CLAREMONT NC
28610-9813
US

V. Phone/Fax

Practice location:
  • Phone: 828-839-2589
  • Fax:
Mailing address:
  • Phone: 828-839-2589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number615975
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: