Provider Demographics
NPI:1831294073
Name:THOMPSON, SYLVIA ANN (RN, CPED)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:RN, CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12830 63RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-4254
Mailing Address - Country:US
Mailing Address - Phone:509-392-3943
Mailing Address - Fax:509-834-7103
Practice Address - Street 1:12830 63RD AVE SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-4254
Practice Address - Country:US
Practice Address - Phone:509-392-3943
Practice Address - Fax:509-834-7103
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00117663163WC1500X, 163W00000X
WACPED2653224L00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2083506Medicaid
WA2083506Medicaid