MS. MARY KATHRYN THOMPSON PMHNP
NPI 1104891779
Nurse Practitioner in Portland, OR
NPI Status: Active since February 17, 2006
Contact Information
1130 NW 22ND AVE
SUITE 345
PORTLAND, OR
ZIP 97210
Phone: (503) 413-7513
Fax: (503) 413-7503
- Individual
- Female
- Nurse Practitioner
About MARY THOMPSON
This page provides the complete NPI Profile along with additional information for Mary Thompson, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1104891779 assigned on February 2006. The practitioner's primary taxonomy code is 363L00000X with license number 200550127NP (OR). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1104891779
- Provider Name
- MS. MARY KATHRYN THOMPSON PMHNP
- Other Name
- MS. MARY KATHRYN LIPPER NP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1130 NW 22ND AVE SUITE 345 PORTLAND, OR 97210
- Location Phone
- (503) 413-7513
- Location Fax
- (503) 413-7503
- Mailing Address
- PO BOX 3808 PORTLAND, OR 97208
- Mailing Phone
- (503) 413-5089
- Mailing Fax
- (503) 413-7503
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-17-2006
- Last Update Date
- 12-12-2008
- Code Navigator
A nurse practitioner (NP) like Mary Thompson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 200550127NP
- License State
- OR
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 000030387N1 (OR) |
| 2 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 200550127NP (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 027956 | MEDICAID (05) | OR | |
| P36921 | MEDICARE UPIN (02) | OR | |
| 139451 | MEDICARE PIN (08) | OR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 9 | 1 | 7 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 9 | 2 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 9 + 2 + 7 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1104891779 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811999204 | BARBARA K FERRE MD Individual | Pediatrics | 1130 NW 22ND AVE SUITE 320 PORTLAND, OR 97210 (503) 295-2546 |
| 1033111422 | DEIDRE L BURTON MD Individual | Pediatrics | 1130 NW 22ND AVE SUITE 320 PORTLAND, OR 97210 (503) 295-2546 |
| 1659363331 | KAREN H LICKTEIG MD Individual | Pediatrics | 1130 NW 22ND AVE STE 320 PORTLAND, OR 97210 (503) 295-2546 |
| 1164410874 | BLAYNE A STANDAGE MD Individual | Surgery | 1130 NW 22ND AVE SUITE300 PORTLAND, OR 97210 (503) 226-4325 |
| 1932190071 | EARL S SCHUMAN MD Individual | Surgery | 1130 NW 22ND AVE STE 300 PORTLAND, OR 97210 (503) 226-4325 |
| 1144294885 | KELLY FAITH SCOTT MD Individual | Internal Medicine | 1130 NW 22ND AVE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1972577740 | DR. STEPHEN FREDERICK BAUGH MD Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1437124088 | DR. BARRY EGENER MD Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8898 |
| 1720053317 | JOYCE KAYNARD Individual | Internal Medicine | 1130 NW 22ND AVE PORTLAND, OR 97210 (503) 413-8988 |
| 1669447264 | CURTIS MARR M.D. Individual | Internal Medicine | 1130 NW 22ND AVE PORTLAND, OR 97210 (503) 413-8988 |
| 1619942869 | DR. KATHARINE MARGRET ZELLER M.D. Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1144295916 | ERICH JONATHAN MEIHOFF MD Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1073589644 | DR. DAVID L PERRY M.D. Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1831165398 | DR. ALAR MIRKA M.D. Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1891761086 | MS. MELISSA DAWN JACOBSON RD, CDE Individual | Dietitian, Registered | 1130 NW 22ND AVE SUITE LL10 PORTLAND, OR 97210 (503) 413-7227 |
| 1912974668 | KATHLEEN MARIE HEFFLINGER RD, LC, CDE Individual | Dietitian, Registered | 1130 NW 22ND AVE LL 10 PORTLAND, OR 97210 (503) 413-7311 |
| 1841259389 | GAIL ANNE MOSES MD Individual | Internal Medicine | 1130 NW 22ND AVE SUITE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1962463836 | DR. DANIELA CELIA GOLDENBERG MD Individual | Internal Medicine | 1130 NW 22ND AVE 220 PORTLAND, OR 97210 (503) 413-8988 |
| 1194779645 | FRANK J. BAUMEISTER JR. M.D. Individual | Specialist | 1130 NW 22ND AVE SUITE 410 PORTLAND, OR 97210 (503) 229-7137 |
| 1902851132 | ROLAND WILLIAM BENNETTS M.D. Individual | Specialist | 1130 NW 22ND AVE SUITE 410 PORTLAND, OR 97210 (503) 229-7137 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104891779, enumerated in the NPI registry as an "individual" on February 17, 2006
The provider is located at 1130 Nw 22nd Ave Suite 345 Portland, Or 97210 and the phone number is (503) 413-7513
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.