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Kathryn Marie Thompson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16415 Northcross Dr Ste B, Huntersville, NC 28078-5001

PECOS Enrollment

This provider is enrolled in PECOS as KATHRYN THOMPSON.

Based on the most recent information from CMS, provider Kathryn Marie Thompson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1952016222
Provider Type
Individual
Full Name
Thompson, Kathryn Marie
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/20/2023
Last Updated
1/20/2023

Contact Information

Practice Location

16415 Northcross Dr Ste B, Huntersville, NC 28078-5001

(704) 775-6029

Unlisted Fax

Mailing Location

65 Circle Dr, Medina, OH 44256-2552

(330) 590-0307

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License THOM-BX2XT North Carolina

Kathryn Marie Thompson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Belk, Catherine

Champagne, Jenifer Claire

Jamison, Heather Lynn

Hennessee, Penny Lingerfelt

Smith, Hannah Lane

Finnerty, Sarah Ann

Redd, Ryan Ray

Conway, Rebecca

Martin-Vavra, Mary M.

Jones, Susanne Newman