MEDICARE: MACY THOMPSON RN, BSN

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	163W00000X	Registered Nurse	2016019665	MO

General Provider Information

NPI Number	:	1104776335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACY THOMPSON RN, BSN

Provider Business Mailing Address
First Line	:	2723 JARBOE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-3517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 JARBOE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64108-3517
Country	:	US
Telephone Number	:	816-820-8602
Fax Number	:

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

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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