Provider Demographics
NPI:1699662791
Name:THOMPSON, SHONDRIKA
Entity type:Individual
Prefix:
First Name:SHONDRIKA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 WALNUT DR APT B
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-3202
Mailing Address - Country:US
Mailing Address - Phone:318-709-2656
Mailing Address - Fax:
Practice Address - Street 1:437 WALNUT DR APT B
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-3202
Practice Address - Country:US
Practice Address - Phone:318-709-2656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator