Individual provider · Type 1 NPI

Tangie Thompson

Nurse Practitioner · Fairfield, CA

NPI number 1093094187 Active

Practice location

2702 Low Ct
Fairfield, CA 94534-9771

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice locations

  • 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 · (707) 646-5000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X659389 (CA)
Nurse Practitioner Primary 363L00000X20983 (CA)

Nurse Practitioner: (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 wit…

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About NPI 1093094187

Tangie Thompson's National Provider Identifier is 1093094187, issued on Aug 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 28, 2026.