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: July 26, 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
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

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.

Clinic/Center (Rural Health)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Clinic/Center (Rural Health)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Nurse Practitioner (Family)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548
Physician Assistant (Medical)
104 EAST HIGHWAY 60
MOUNTAIN VIEW, MO 65548

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 with the weekly NPPES data releases published by CMS.