MEDICARE: CARRIE FLYNN THOMPSON MS, FNP, RN, BC

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	363LF0000X	Family Nurse Practitioner	555871	TX

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
2	G0129581	OTHER	TX	DPS

General Provider Information

NPI Number	:	1992778062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE FLYNN THOMPSON MS, FNP, RN, BC

Provider Business Mailing Address
First Line	:	PO BOX 911230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75391-1230
Country	:	US
Telephone Number	:	972-997-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 WORTH ST STE C-1025
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2006
Country	:	US
Telephone Number	:	214-865-1020
Fax Number	:

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	03/07/2023

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