Nicole M Thompson
Specialist/Technologist, Athletic Trainer in Marlton, NJ. Individual provider (NPI-1).
NPI number1669935169
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1669935169
- Entity type
- Individual (NPI-1)
- Name
- Miss Nicole M Thompson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2019
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00285400 | NJ | Yes |
Practice location
4 Eves Dr Ste A100Marlton, NJ 08053-3126
Phone 609-267-9400
Mailing address
202 Juniper CirGlassboro, NJ 08028-2950
Phone 856-812-1689
Other practice locations
201 Mullica Hill Rd
Glassboro, NJ 08028-1700
Glassboro, NJ 08028-1700
Phone 856-256-4000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Athletic Trainer providers in Marlton · All 2,303 providers in Marlton
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