JEREMIAH THOMPSON - NPI 1831866615 - Student in an Organized Health Care Education/Training Program in Santa Rosa, CA

Q: What is Jeremiah Thompson's NPI number?

The NPI number for Jeremiah Thompson is 1831866615. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Jeremy Thompson.

Q: What is Jeremiah Thompson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Thompson was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jeremiah Thompson NPPES

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

JEREMIAH THOMPSON (NPI 1831866615) is an individual student in an organized health care education/training program in Santa Rosa, California and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831866615

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEREMIAH THOMPSON

Location Address1622 4TH STSanta Rosa, CA 95404-4020

Mailing Address1622 4th StSanta Rosa, CA 95404-4020

Phone(707) 583-9777

Sole ProprietorNo

Enumeration DateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1831866615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1622 4TH ST, Santa Rosa, CA 95404

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Other Names 1

Other Name (5)Jeremy Thompson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremiah Thompson 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.

Other Providers at the Same Location NPPES 6

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

MRS. LINDA LEE KINZLER LCSW

Social Worker (Clinical)