JOAN R THOMPSON REGISTERED DIETITIAN - NPI 1174646947

Q: What is Joan Thompson's NPI number?

The NPI number for Joan Thompson is 1174646947. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Joan Thompson's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Thompson was last updated on December 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Joan R Thompson Registered Dietitian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAN R THOMPSON REGISTERED DIETITIAN (NPI 1174646947) is an individual nutritionist in Oakland, California, licensed in California (814574) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174646947

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameJOAN R THOMPSONCredential: REGISTERED DIETITIAN

Location Address3451 E 12TH STREETOakland, CA 94601

Mailing Address1601 Fruitvale AveOakland, CA 94601-2322 · (510) 535-4000 · Fax (510) 535-4128

Phone(510) 535-3700

Fax(510) 535-4216

Sole ProprietorNo

Enumeration DateApril 9, 2007

Last NPPES UpdateDecember 19, 2007

✔ NPI 1174646947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

License✔ Licensed in CA · 814574

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

3451 E 12TH STREET, Oakland, CA 94601

Open in Google Maps ↗

Other Identifiers 4

OtherHAP71021FCA · Fpact

Other55-1975CA · Fqhc Medicare Part A

OtherZZZ29799ZCA · Fqhc Medicare Part B

MedicaidFHC71021FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joan R Thompson Registered Dietitian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.