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CORALEE M. THACKER-THOMPSON PNP
NPI 1780766618
Nurse Practitioner - Pediatrics in Mountain View, MO

Active since October 19, 2006
104 EAST HIGHWAY 60, MOUNTAIN VIEW, MO 65548(417) 934-2251(417) 934-2871 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coralee M. Thacker-thompson Pnp NPPES

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

CORALEE M. THACKER-THOMPSON PNP (NPI 1780766618) is an individual pediatrics provider in Mountain View, Missouri, licensed in Missouri (045482) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1780766618
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCORALEE M. THACKER-THOMPSONCredential: PNP
Location Address104 EAST HIGHWAY 60Mountain View, MO 65548
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(417) 934-2251
Fax(417) 934-2871
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 15, 2008
✔ NPI 1780766618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 045482
104 EAST HIGHWAY 60, Mountain View, MO 65548
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Other Identifiers 3

Medicaid426765103MO
Medicare PIN823353230MO
Medicare UPINR22206MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINIC SPRINGFIELD COMMUNITIES
Clinic/Center (Rural Health)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Howell County (417) 934-2251
MERCY ST FRANCIS HOSPITAL
Clinic/Center (Rural Health)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Howell County (417) 934-2251
PATRICIA ALEXA SUMMERFORD APRN
Nurse Practitioner (Family)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Howell County (417) 934-2251
MICHAEL K. GADDY PA-C
Physician Assistant (Medical)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Howell County (417) 934-2251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coralee Thacker-thompson's NPI number?

The NPI number for Coralee Thacker-thompson is 1780766618. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Coralee Thacker-thompson located?

Coralee Thacker-thompson practices at 104 East Highway 60, Mountain View, MO 65548. The listed phone number is (417) 934-2251.

What is Coralee Thacker-thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Coralee Thacker-thompson was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.